Montclair United Soccer Club
COACH/TRAINER CONCUSSION EDUCATION COMPLIANCE FORM
In order to help protect the student athletes of New Jersey, the NJSIAA has mandated that all athletes, parents/guardians and coaches follow the NJSIAA Concussion Policy.
I,________________________, (coach/trainer) of the_______________________(team or program)
in the _________________________ (age group) have taken the online "Heads Up" course at:
and have satisfied the requirements of the coursework.
Please send this form along with a copy of your online training certificate via:
FAX - (973) 547-3344
EMAIL - [email protected]
or drop off/mail forms to:
Debra David (669 Grove Street)