; (B) disrupts normal brain functioning and alters the mental state of the individual, causing the individual to experience— (i) any period of observed or self-reported— (I) transient confusion, disorientation, or impaired consciousness; (II) dysfunction of memory around the time of injury; or (III) loss of consciousness lasting less than 30 minutes; or (ii) any 1 of 4 types of symptoms, including— (I) physical symptoms, such as headache, fatigue, or dizziness; (II) cognitive symptoms, such as memory disturbance or slowed thinking; (III) emotional symptoms, such as irritability or sadness; or (IV) difficulty sleeping; and (C) can occur— (i) with or without the loss of consciousness; and (ii) during participation in any organized sport or recreational activity. (2) Health care professional The term health care professional — (A) means an individual who has been trained in diagnosis and management of traumatic brain injury in a pediatric population; and (B) includes a physician (M.D. or D.O.) or certified athletic trainer who is registered, licensed, certified, or otherwise statutorily recognized by the State to provide such diagnosis and management. (3) Local educational agency; State The terms local educational agency and State have the meanings given such terms in section 8101 of the Elementary and Secondary Education Act of 1965 ( 20 U.S.C. 7801 ). (4) Related Services Personnel The term related services personnel means individuals who provide related services, as defined under section 602 of the Individuals with Disabilities Education Act ( 20 U.S.C. 1401 ). (5) School-sponsored athletic activity The term school-sponsored athletic activity means— (A) any physical education class or program of a school; (B) any athletic activity authorized during the school day on school grounds that is not an instructional activity; (C) any extra-curricular sports team, club, or league organized by a school on or off school grounds; and (D) any recess activity.