Fontbonne Hall Academy

Skip to main content
Mobile Menu
Support Our Mission

Please complete the form below. Mandatory fields marked *

Read the file below, or download the pdf here.

New York State Scholastic Athlete
Parental/Guardian Acknowledgement Regarding Concussion Information

Read this form carefully before signing

I, the parent/guardian of acknowledge the receipt and understanding of the “New York State Scholastic Athlete Fact Sheet on Concussions”, have reviewed it with my child, and asked any questions regarding its contents to the school district.

  1. Signature Date:*
  2. Date: