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Concussion Fact Sheet for Parents & Student Athletes Augusta County Public Schools May 2012 Dear Parents, Guardians, and Student Athletes; On July 1, 2011, Virginia's Concussion Law StudentAthlete
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How to fill out a parent/student concussion signature page:

01
Read through the entire document: Start by thoroughly reading the parent/student concussion signature page. Familiarize yourself with the instructions and requirements mentioned in the document.
02
Provide accurate personal information: Fill out the necessary personal information accurately. This may include the student's full name, date of birth, contact details, and school information.
03
Consent to concussion protocol: The parent/student concussion signature page usually includes a section where you need to provide consent to the school or organization's concussion protocol. Make sure to read this section carefully and indicate your agreement by signing or ticking the designated box.
04
Review the concussion-related information: The document may contain important information regarding concussion prevention, symptoms, reporting procedures, and return-to-play protocols. Take the time to read and understand this information.
05
Sign and date the page: Once you have completed filling out all the necessary sections, sign your name and write the date on the parent/student concussion signature page. Make sure the signature matches the name provided earlier.

Who needs a parent/student concussion signature page?

01
Students participating in sports: Parents and students involved in organized sports programs, particularly at schools, often have to fill out a parent/student concussion signature page. This is to ensure that everyone understands the risks associated with concussion and the necessary protocols to follow.
02
School administrators and coaches: These individuals typically require parents and students to complete and submit the concussion signature page as part of their safety protocols. It helps them track who has consented to concussion guidelines and provides them with important information in case of a concussion-related incident.
03
Youth organizations and community programs: Any organization or program that involves children or teenagers in physical activities should prioritize concussion safety. Consequently, they may request parents and participants to complete a parent/student concussion signature page.
Overall, anyone involved in sports or activities where there is a risk of concussion should complete a parent/student concussion signature page. It demonstrates a commitment to safety and ensures that all parties are aware of the necessary protocols in case of a concussion-related incident.
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The parentstudent concussion bsignatureb page is a form that must be signed by both a parent and a student to acknowledge the risks of concussions and agree to follow proper protocols.
Any student participating in a sports or activity program that has a risk of concussion is required to file the parentstudent concussion bsignatureb page.
The parent and student should read the form carefully, sign and date it, and return it to the appropriate school or organization.
The purpose of the parentstudent concussion bsignatureb page is to inform both the parent and student about the risks of concussions and ensure they understand and agree to follow proper procedures.
The parent and student must provide their names, date of birth, contact information, and signatures on the form.
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