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​​​​LEMOORE YOUTH SOCCER LEAGUE

What Should You Do in the Event of a Possible Concussion

In the case of a possible concussion:

The Concussion Notification Form is to be filled out in duplicate and signed by a team official of the player’s team. The document should be emailed to MedicalClaims@calnorth.org.


If a parent/legal guardian of the player is present, have the parent/legal guardian sign and date the Form, and give the parent/legal guardian one copy of the completed Form. If the parent/legal guardian is not present, then the team official is responsible for notifying the parent/legal guardian ASAP by phone or email and then submitting the Form to the parent/legal guardian by email or mail.

When the parent/guardian is not present, the team official must make record of how and when the parent/legal guardian was notified. The notification will include a request for the parent/legal guardian to provide confirmation and completion of the Concussion Notification Form whether in writing or electronically.

The team official must surrender the player pass to a League representative upon injury. The player pass will not be returned until a Medical Release has been received by CalNorth.  League must send copy of Medical Release to Cal North office (1040 Serpentine Lane, Suite 201, Pleasanton, CA 94556).

Players may wear their jersey, but must not be in full uniform until the League has received the Medical Release and the pass has been returned to the team official.Type your paragraph here.


​Children and teens who show or report one or more of the signs and symptoms listed below, or simply say they just “don’t feel right” after a bump, blow, or jolt to the head or body, may have a concussion or more serious brain injury.

Concussion Signs Observed

  • Can’t recall events prior to or after a hit or fall.
  • Appears dazed or stunned.
  • Forgets an instruction, is confused about an assignment or position, or is unsure of the game, score, or opponent.
  • Moves clumsily.
  • Answers questions slowly.
  • Loses consciousness (even briefly).
  • Shows mood, behavior, or personality changes.


Concussion Symptoms Reported

  • Headache or “pressure” in head.
  • Nausea or vomiting.
  • Balance problems or dizziness, or double or blurry vision.
  • Bothered by light or noise.
  • Feeling sluggish, hazy, foggy, or groggy.
  • Confusion, or concentration or memory problems.
  • Just not “feeling right,” or “feeling down”.


Signs and symptoms generally show up soon after the injury. However, you may not know how serious the injury is at first and some symptoms may not show up for hours or days. For example, in the first few minutes your child or teen might be a little confused or a bit dazed, but an hour later your child might not be able to remember how he or she got hurt.

You should continue to check for signs of concussion right after the injury and a few days after the injury. If your child or teen’s concussion signs or symptoms get worse, you should take him or her to the emergency department right away.

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Information for Parents
A child or teen with a concussion needs to be seen by a medical provider. If you think your child or teen has a concussion, contact his or her health care professional.

Remove From Play- [It's better to miss one game, than the whole season.]

If the concussion happens while playing sports, you should also:

  • Remove the child from play.
  • Keep the child out of play the day of the injury and until a medical provider, experienced in evaluating for concussion, says he or she is symptom-free and it’s OK to return to play.
  • Children or teens who return to play too soon—while the brain is still healing—risk a greater chance of having a repeat concussion. Repeat or later concussions can be very serious. They can cause permanent brain damage, affecting your child for a lifetime.


Seek Medical Care

  • Most kids and teens are treated in the emergency department or in a medical office after a concussion and get to go home. However, when the injury is more serious, your child or teen may need to stay in the hospital overnight.


What to Tell the Medical Provider

  • Be sure to tell the medical provider if your child or teen is taking medications—prescription, over-the-counter medicines, or “natural remedies.” When possible, also write down and share the following information:
  • Cause of the injury and force of the hit or blow to the head or body
  • Any loss of consciousness (passed out/knocked out) and if so, for how long
  • Any memory loss right after the injury
  • Any seizures right after the injury
  • Number of previous concussions (if any)


Tests for Concussion & Brain Injury

  • Your child or teen’s medical provider may do a scan of his or her brain (such as a CT scan) to look for signs of a more serious brain injury. Other tests such as “neuropsychological” or “neurocognitive” tests may also be performed. These tests help assess your child or teen’s learning and memory skills, the ability to pay attention or concentrate, and how quickly he or she can think and solve problems. These tests can help the child’s medical provider identify the effects of the concussion.


Get Written Concussion Care Instructions

  • Ask for written instructions from the young athlete’s health care provider on return to play. These instructions should include information about when they can return to play and what steps you should take to help them safely return to play. Before returning to play an athlete should:
    • Be back to doing their regular school activities.
    • Not have any symptoms from the injury when doing normal activities.
    • Have the green-light from their health care provider to begin the return to play process.


More Information for Coaches
f you think an athlete has a concussion, implement the HEADS UP Action Plan:

  • HEADS UP Action Plan-Remove from Play:
    • Remove the young athlete from play. When it doubt, sit them out!Seek Medical Attention
    • Keep a young athlete with a possible concussion out of play the same day of the injury and until cleared by a health care provider. Do not try to judge the severity of the injury yourself. Only a health care provider should assess a young athlete for a possible concussion. After you remove a young athlete with a possible concussion from practice or play, the decision about return to practice or play is a medical decision that should be made by a health care provider. As a coach, recording the following information can help a health care provider in assessing the young athlete after the injury:
      • Cause of the injury and force of the hit or blow to the head or body
      • Any loss of consciousness (passed out/knocked out) and if so, for how long
      • Any memory loss right after the injury
      • Any seizures right after the injury
      • Number of previous concussions (if any)