Athletic Paperwork

Athletic paperwork…

NEW THIS YEAR - Concussion Baseline Tests Required!

Students planning to participate in athletics are required to have a WIAA Physical or Alternate Year Form, a signed Participation Consent Form, and a Parent and Athlete Concussion Agreement Form on file at the WLA Athletic Office before the athlete is allowed to participate in any practices.

New this year is that the concussion baseline test will be a requirement for all freshman and junior athletes.  This test needs to be completed every two years therefore if there are any sophomores and seniors who did not complete a baseline test last year that athlete will also be required to take the baseline test.  This baseline test is free of charge and offered through Agnesian Health Care.  This test is completed within 25 minutes and will be offered several different times/dates on the WLA campus.  Times and dates to be announced.  An Impact Testing Consent Form must be completed and signed by the parent prior to the test being given. Please click here for the consent form. This form only needs to be completed by the athletes who are required to complete the baseline test.  This consent form must be signed by a parent and should be brought the day of the test.  

All forms should be on file at WLA no later than August 1, 2013.  Forms may be mailed or dropped off in the Athletic Office.  Make your appointment for a physical as soon as possible.  Athletes will not be able to try out or practice for a team without the required paperwork on file.

Please contact the Athletic Office with questions – 920.921.4930 or email lmuentner@wlavikings.org.

WIAA Physical Form


WIAA Alternate Year Physical Form


Participation Consent Form


Parent & Athlete Concussion Agreement



NEW Concussion Requirements – Wisconsin Concussion Law Act 172 – Statute 118.293

The law requires all youth athletic organizations to educate coaches, athletes and parents on the risks of concussions and head injuries and prohibits participation in a youth activity until the athlete and parent or guardian has returned a signed agreement sheet indicating they have reviewed the concussion and head injury informational materials.  The law requires immediate removal of an individual from a youth athletic activity if symptoms indicate a possible concussion has been sustained.  A person who has been removed from a youth athletic activity because of a determined or suspected concussion or head injury, may not participate again until he or she is evaluated by a health care provider and receives written clearance from the health care provider to return to the activity.

What this means to you…

At the beginning of EACH athletic season, all participating athletes and parents must read the Concussion ABC's for Parents/Athletes and sign the Parent & Athlete Concussion Agreement form.  No person may participate in a youth athletic activity unless the person returns the agreement signed by the person and, if he or she is under the age of 19, by his or her parent or guardian.

Concussion ABC's for Parents
http://www.wiaawi.org/Portals/0/PDF/Health/ConcussionParents.pdf

Concussion ABC's for Athletes
http://www.wiaawi.org/Portals/0/PDF/Health/ConcussionAthletes.pdf

For more information, visit WIAA's Concussion Information website.
http://www.wiaawi.org/Health/Concussions.aspx

Winnebago Lutheran Academy