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EXHIBIT D Parent/Athlete Injury Disclosure Form Participants of athletic programs and their parents, prior to each season, must disclose any information relative to any injury that occurred previously

How to fill out parentathlete injury disclosure form

How to fill out parentathlete injury disclosure form?

1. Obtain the form: First, you need to obtain the parentathlete injury disclosure form. This form is typically provided by the school or organization that the athlete is a part of. You can either request a physical copy of the form or download it from the school's website if available.
2. Read the instructions: Before filling out the form, carefully read the instructions provided. The instructions will guide you on how to correctly complete the form and provide information about any supporting documents or signatures required.
3. Personal information: Start by providing the required personal information. This may include the athlete's full name, date of birth, address, phone number, and any other relevant contact information. Also, include the parent or guardian's details if applicable.
4. Medical history: Fill out the medical history section of the form. This typically involves providing details about the athlete's previous injuries, illnesses, or any underlying medical conditions. Be thorough and honest while answering these questions as it will help the organization understand the athlete's health status.
5. Insurance information: If the form includes a section for insurance details, ensure that you fill it out accurately. This may require providing information about the insurance company, policy number, and the primary insured person's name (usually the parent or guardian).
6. Emergency contact information: Include the contact information for someone who should be notified in case of an emergency. This could be a parent, guardian, or any individual designated as an emergency contact.
7. Signature and consent: Carefully read through the consent statements provided on the form. If you agree with the terms and conditions, sign and date the form accordingly. In some cases, both the athlete and the parent or guardian may need to sign.

Who needs parentathlete injury disclosure form?

1. Student-athletes: Any student who participates in sports or athletic activities organized by their school or institution is typically required to fill out a parentathlete injury disclosure form. This form helps ensure that the school has all the necessary information regarding the athlete's medical history and emergency contacts.
2. Parents or guardians: The parentathlete injury disclosure form is primarily filled out by parents or guardians of student-athletes. They are responsible for providing accurate information about the athlete's health and medical background, as well as signing the consent statements.
3. Schools or institutions: Schools, colleges, or other educational institutions that organize athletic programs require the parentathlete injury disclosure form. This form helps them understand the health status of the athletes, allowing them to take necessary precautions, provide appropriate medical attention, and ensure the safety of the students during sports activities.

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What is parentathlete injury disclosure form?

The parentathlete injury disclosure form is a document used to report any injuries sustained by a student athlete during sports activities.

Who is required to file parentathlete injury disclosure form?

The form is typically required to be filled out by the parents or guardians of the student athlete.

How to fill out parentathlete injury disclosure form?

To fill out the form, the parent or guardian must provide details about the injury, including how it occurred and the extent of the injury.

What is the purpose of parentathlete injury disclosure form?

The purpose of the form is to inform school officials and coaches about any injuries that may impact the student athlete's participation in sports activities.

What information must be reported on parentathlete injury disclosure form?

The form typically requires information about the type of injury, when it occurred, and any treatment that has been received.