Head Injury Fact Sheet and Policy A concussion (commonly called a head injury) is a potentially serious injury to the brain. Also known as a traumatic brain injury, or “TBI,” a concussion can cause potentially life‐altering symptoms. Signs & Symptoms of Concussion: Any one or more of the following signs and symptoms may indicate a head injury has occurred. Symptoms reported by the injured individual: Headache, Nausea, Balance Problems & Dizziness, Blurred Vision, Sensitivity to bright lights or loud noise, feeling “sluggish” or “foggy”, Altered sleep patterns, Difficulty concentrating, Problems with memory. Signs observed by coaches, other team members, instructional staff, camp administration, or host institution personnel: Stunned or confused appearance, forgets arm motions or cheers, confused about formations in dances or routines, Unsure of surroundings (i.e., game score) Moves clumsily, Loss of consciousness (long or short), Personality or behavior changes (irritable, agitated, sad, etc.). Forgets events right before or after a blow to the head. Parents and/or guardians will be notified immediately upon witnessing or report of incident. If parent and/or guardian deny evaluation by a physician, the participant is not allowed to return to activity. It is the policy of Spirit Xpress West to remove any individual from practice, camp activities, or competition following a suspected head injury. Head injuries include, but are not limited to concussions, second impact syndrome and traumatic brain injuries. There will be no refunds or adjustments made to registration fees as a result of injury. Safety is the number one priority and this policy demonstrates our commitment to overall wellbeing. Team Name Head Coach Email Head Coach Signature Date Assistant Coach Signature Date SXW Director Signature Date Please leave this field empty.