Can we help you? | Play Smart Stay Smart

If your school or team lacks funding for educational materials and concussion testing, please fill out the application below and Play Smart Stay Smart will contact you. Click here to schedule a Play Smart Stay Smart visit to your school or team.

Name of school or team
What is the age range of the athletes?
Address
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Contact Person
Title
Phone
Email
Does your team or school have a licensed trainer on staff?
- Yes
- No
For what sport(s) are you requesting aid?
Request for: (*please check)
- ImPACT testing
- Preseason education video for parents and players
Describe the concussion protocols currently in place at your institution.
Would you be willing to participate in postseason survey evaluating the benefits of this education and testing?
- Yes
- No
Captcha