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Form 5360 F1CONCUSSION ACKNOWLEDGEMENT AND SIGNATURE FORM FOR PARENTS AND STUDENT ATHLETESStudent Athletes Name (Please Print): ___ Sport Participating In (If Known): ___ Date: ___ Due to the new
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i hereby acknowledge and is a statement indicating that the individual acknowledges and accepts a certain fact or condition.
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To fill out i hereby acknowledge and, the individual must read and understand the contents of the statement, then sign and date the document to indicate their acknowledgment.
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