Concussion & Traumatic Head Injury Policy

Recreation Department

Effective: In Place

Revised: 03/06/14


The City of Springville recognizes that concussions and head injuries can result from contact in sports and have serious consequences if not properly evaluated and treated.  Therefore, consistent with state law, the City has adopted this Concussion and Traumatic Head Injury Policy (Policy) in order to educate and establish a plan of action for coaches, teachers, employees, representatives, or volunteers of the City (Agents) when a player (defined as an individual under the age of 18 years) suffers or is suspected of suffering a concussion during a sporting event.

NOTE:  Under state law, sporting events include all games, practices, camps, physical education classes, competitions, or tryouts.


It shall be the policy of the City that all Agents as well as parents/guardians of players will be familiar with the symptoms and signs of concussion and be prepared to take appropriate action as outlined below in responding to such incidents.

“When in doubt, sit them out!” Youth players are particularly vulnerable to the effects of concussion.  Once considered little more than a minor “ding” on the head, it is now understood that a concussion has the potential to result in death, or short-term and long-term changes in the brain function.  A concussion is a brain injury that result in a temporary disruption of normal brain function.  A concussion occurs when the brain is violently rocked back and forth or twisted inside the skull as a result of a blow to the head or body.  Symptoms include (but are not limited to) transient confusion, disorientation, impaired consciousness, dysfunction of memory, loss of consciousness, seizures, irritability, lethargy, vomiting, headache, dizziness, or fatigue.  Continued participation in any sporting event following a concussion can lead to worsening concussion symptoms, as well as increased risk for further injury to the brain or even death.

The well-being of the players is a paramount concern during a sporting event.  Agents and parents/guardians are being asked to make all efforts to ensure that concussed players do not continue to participate.  Thus, Agents and parents/guardians should all be looking for signs of concussion in all players and any suspected concussed player should immediately be removed from play.

All Agents will be familiar with and will receive a copy of this Policy.  Parents/guardians will be provided a copy of tis Policy as well as the Information Sheet and Parental Acknowledgement Form.  These documents must be reviewed and the acknowledgement signed by the parent/guardian before the player will be allowed to participate in a sporting event.

Role of City coaches, teachers, employees, representatives, or volunteers (Agents):

Agents will NOT be expected nor will they be trained to “diagnose” a concussion.  Diagnosis is the job of a qualified health care provider.  Agents are being asked to use their best judgment in observing the signs, symptoms and behaviors associated with concussions.   If an Agent observing questionable signs, symptoms, or behavior, he/she must remove the player from the sporting event for further evaluation and notify the player’s parent/guardian.  Agents are not permitted to allow a player to resume activity until the Agent receives a written statement from a qualified health care provider indicating that the player is cleared to resume participation in the sporting event.  The written statement must be provided to the Agent who removed the player from the sporting event.  If that Agent in not available, then the written statement muse be provided to the Agent’s supervisor or to a member of the Administrative Services before the player may resume participation in the sporting event.

In addition to reviewing the Concussion and Head Injury Information Sheet and this Policy, it is strongly recommended that Agents participate in a free online course on concussion management prepared by the Center for Disease Control accessed at

Role of Officials:

Officials are not Agents of the City and will NOT be expected to “Diagnose” a concussion.  Officials are being asked to user their best judgment in observing the signs, symptoms, and behaviors associated with concussions.  Officials will not be asked to give what could be perceived as a medical opinion.  If an official observes questionable, signs, symptoms, or behavior, the official should notify the coach or an Agent, and the player should be removed from the sporting event.

Officials are not responsible for the sideline evaluation or management of the player after he/she is removed from play.

Role of Parent/Guardians:

Like Agents, parents/guardians will NOT be expected to “Diagnose” a concussion.  However, parents/guardians are being asked to become familiar with the signs, symptoms, and behaviors associated with concussions.  Parents/guardians will be required to review the Information Sheet and sign the Parental Acknowledgement Form indicating that the parent/guardian has read, understands, and agrees to abide by this Policy.  Players will not be allowed to begin participating in a sporting event until the Parental Acknowledgement Form has been signed and returned to the Agent who removed the player from the sporting event.  Parents/guardians will be expected to comply with this Policy and support the determination made by the Agents to remove a player from a sporting event.

It is the parent/guardian’s obligation to have the player evaluated by a qualified health care provider and to obtain from that provider a written statement (1) indicating that the health care provider has, within the last three years, successfully completed a continuing education course in the management and evaluation of concussion; and (2) that he/she clears the player to resume participation in the sporting event.  The form can be downloaded at ______ or picked up at the Springville Recreation Department offices at 443 South 200 East, Springville, UT 84663.  It is the parent/guardian’s responsibility to return the completed form to the Springville Recreation Offices before the player is allowed to resume play at the sporting event.

NOTE:  A qualified health care provider is a provider licensed by the Department of Professional Licensing (under Title 58 of the Utah Code) and who may evaluate a concussion within the scope of his/her practice.  Some examples include: physician, physician’s assistant, registered nurse, licensed practical nurse, physical therapist or athletic trainer.

Mandated Course of Action:

  1. Remove player form the sporting event.
  2. Notify parent/guardian.
  3. Any Player suspected of having a concussion should be evaluated by a qualified health care provider as soon as practicable.
  4. Before a player will be allowed to resume participation in a sporting event, the parent/guardian of the player must obtain and return to the Springville Recreation Department Offices a completed Qualified Health Care Provider Statement Authorizing Player to Resume Play Form indicating that the player is cleared to resume participation in the sporting event.

NOTE:  this policy is applicable only to City teams, leagues, and sporting events.  The City is not responsible for implementing any concussion or head injury policy for independent teams, leagues, organizations, or associations that utilize City owned or operated fields or facilities.

Concussion Fact Sheet for Coaches

Other Springville Rec Links:

Recreation Mission Statement: To create lasting memories, provide diverse opportunities, build unity, and provide safe and fun experiences for all ages, abilities and interests.