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Get the free Concussion Acknowledgement and Signature Form - ihsaa

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This document serves to inform and educate student athletes and their parents about the risks of concussions and head injuries, and requires their acknowledgment of receiving this information before
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How to fill out Concussion Acknowledgement and Signature Form

01
Obtain a copy of the Concussion Acknowledgement and Signature Form.
02
Read the instructions provided on the form carefully.
03
Fill in the participant's name, date of birth, and any other required personal information.
04
Review the section that outlines the risks and signs of concussion.
05
Acknowledge understanding of the information by signing the designated area.
06
Include the date of signing the form.
07
If applicable, have a parent or guardian sign the form if the participant is underage.
08
Submit the completed form to the designated authority, such as a coach or school official.

Who needs Concussion Acknowledgement and Signature Form?

01
Any athlete participating in sports, particularly youth sports.
02
Parents or guardians of underage athletes.
03
Coaches and sports officials who supervise activities involving potential concussive injuries.
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The Concussion Acknowledgement and Signature Form is a document used to inform and acknowledge the risks associated with concussions and to ensure that participants, such as athletes and their guardians, understand the signs and symptoms of concussions.
Athletes participating in contact sports, their parents or guardians, and any personnel involved in the management of the sporting event are typically required to file the Concussion Acknowledgement and Signature Form.
To fill out the Concussion Acknowledgement and Signature Form, participants must read the information provided about concussions, acknowledge that they have understood it, and then provide their signature along with the date, and if applicable, the signature of a parent or guardian.
The purpose of the Concussion Acknowledgement and Signature Form is to ensure that athletes and their guardians are aware of the risks of concussions, provide education on the condition, and obtain consent before participating in physical activities.
The Concussion Acknowledgement and Signature Form typically requires the athlete's name, date of birth, contact information, acknowledgement of reading the concussion information, signatures of the athlete and parent/guardian, and the date of signing.
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