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CONCUSSION 'and 'SUDDEN 'CARDIAC 'ARREST ACKNOWLEDGEMENT 'AND 'SIGNATURE 'FORM FOR 'PARENTS 'AND 'STUDENT 'ATHLETES '(Please 'Print): Sport 'Participating 'In '(If 'Known): 'Date: IC '20O34O7 'and
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How to Fill Out Concussion and SCA Acknowledgement:

Step 1) Obtain the concussion and SCA acknowledgement form from the appropriate source, such as a school, sports program, or healthcare provider.
Step 2) Read the form carefully, ensuring you understand the purpose and implications of signing the acknowledgement. Pay attention to any specific instructions or requirements mentioned.
Step 3) Fill in your personal information accurately, including your name, address, contact number, and any other details requested. Make sure there are no spelling errors or incorrect information.
Step 4) Review the concussion and SCA information provided on the form. This may include recognizing the signs and symptoms of a concussion or sudden cardiac arrest (SCA), understanding the importance of reporting any suspected injuries, and knowing the necessary emergency procedures.
Step 5) Sign and date the form in the designated areas. By signing, you are acknowledging that you have read, understood, and agree to comply with the concussion and SCA protocols or requirements.
Step 6) If required, ensure that a parent or guardian also signs the form if you are a minor. This may apply in educational or sports settings for students under a certain age.

Who Needs Concussion and SCA Acknowledgement?

01
Students or athletes participating in organized sports programs, especially contact or high-risk sports such as football, hockey, soccer, and basketball.
02
Parents or guardians of minor students participating in sports programs.
03
Employees involved in physically demanding jobs or occupations prone to head injuries, such as construction workers, firefighters, and police officers.
04
Individuals participating in recreational activities or events that may involve the risk of head injuries, such as cycling, skateboarding, or skiing.
05
Individuals joining fitness centers, gyms, or health clubs that offer sports or exercise programs.
It is important to note that the specific requirements for concussion and SCA acknowledgements may vary depending on the institution, organization, or jurisdiction. Therefore, it is advisable to refer to the appropriate rules and regulations set by the relevant authorities in your specific context.
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Concussion and SCA acknowledgement is a document that verifies a person's understanding and acceptance of the risks associated with concussions and sudden cardiac arrest in sports.
Coaches, athletes, and parents/guardians of athletes are required to file concussion and SCA acknowledgement.
Concussion and SCA acknowledgement can be filled out by providing personal information, signing the document, and indicating understanding of the risks.
The purpose of concussion and SCA acknowledgement is to ensure that individuals involved in sports are aware of the risks and symptoms of concussions and sudden cardiac arrest.
Information such as personal details, acknowledgement of risks, and signature must be reported on concussion and SCA acknowledgement.
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