Copy of 2018-2019 Acknowledgement of Concussion Training Question Title * 1. Please enter your first and last name: First Name Last Name Question Title * 2. Please select the team(s) you coach: Coach Gender Age Group Team 1 Head Coach Assistant Coach Team 1 Coach menu Girls Boys Team 1 Gender menu Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade Team 1 Age Group menu Team 2 Head Coach Assistant Coach Team 2 Coach menu Girls Boys Team 2 Gender menu Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade Team 2 Age Group menu Team 3 Head Coach Assistant Coach Team 3 Coach menu Girls Boys Team 3 Gender menu Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade Team 3 Age Group menu Question Title * 3. I acknowledge viewing the CDC concussion training video. Please enter your initials to provide your digital signature. Question Title * 4. Please email your Concussion Certificate to wellesleysoccer@comcast.net Done