Gerald McShane

* Indicates required field

Upcoming Presentation

Location: Gerald McShane Elementary School
Date: Monday Jan 25th 2016
Time: 12:30pm - 1:30pm
We will be meeting early to travel to the school on time.

By filling out the following form, you commit to presenting the Concussion Legacy Foundation presentation. Since there is a limited space, we will contact you to confirm that you will be presenting. If you do not get selected as a presenter, you are still welcome to come watch how its done! This is a great way to learn to how things work. Please note that only certified concussion educators will be selected to present.

Name *

First

Last

Email *

Please let us know you interest: *

I am a trained educator and agree to present the day of, and practice once before with my group. If I don't get selected to present, I would still like to attend the presentation. I am not trained or don't feel ready to present, but would like to watch the presentation.

Concussion Educator ID (i.e. M11501) *

Thank you for filling out this form. We will get back to you closer to the day of the presentation.

Submit