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Rev. April 2012 CONCUSSION ACKNOWLEDGEMENT FORM Name of Student Definition of Concussion means a complex pathophysiological process affecting the brain caused by a traumatic physical force or impact
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How to fill out uil concussion acknowledgement form

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How to fill out UIL concussion acknowledgement form:

01
Download the form: Visit the official UIL website or contact your school's athletics department to obtain the concussion acknowledgement form.
02
Read the instructions: Carefully read through the form and make sure you understand all the information provided.
03
Fill in personal details: Start by entering your personal information such as your full name, date of birth, address, and contact information.
04
Review the acknowledgement statement: Read the acknowledgement statement carefully, which usually states that you understand the risks of concussions and agree to comply with the UIL concussion management protocol.
05
Sign and date: After reading the acknowledgement statement, sign and date the form in the designated spaces provided.
06
Parental signature (for minors): If you are a minor, have your parent or guardian also sign the form to indicate their agreement and understanding.
07
Submit the form: Return the completed form to the appropriate party as instructed, such as your school's athletics department, coach, or school nurse.

Who needs UIL concussion acknowledgement form?

01
Student-athletes: Any student planning to participate in UIL athletics, including contact sports, must complete the concussion acknowledgement form.
02
Parents or guardians: If the student-athlete is a minor, their parent or guardian should also sign the form to give their consent and acknowledge the risks associated with concussions.
03
Coaches and athletic staff: It is essential for coaches and other athletic staff members to have a record of all student-athletes who have completed the concussion acknowledgement form to ensure compliance with the UIL guidelines.
Please note that the specific requirements and procedures for filling out the UIL concussion acknowledgement form may vary. It is important to refer to the official UIL guidelines and instructions provided with the form for accurate and up-to-date information.
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The UIL concussion acknowledgement form is a document that athletes and their parents/guardians must sign to acknowledge the risks of concussions in sports.
All student-athletes participating in UIL sanctioned sports are required to file the concussion acknowledgement form.
The form is typically provided by the school or sports organization, and must be signed by the student-athlete and their parent/guardian.
The purpose of the form is to educate athletes and parents about the risks of concussions in sports, and to ensure that they understand the proper protocol for dealing with head injuries.
The form typically includes information about the symptoms of concussions, the importance of reporting head injuries, and the steps to take if a concussion is suspected.
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