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CONCUSSION AWARENESS EDUCATIONAL MATERIAL ACKNOWLEDGEMENT By my name and signature below, I acknowledge in accordance with Public Acts 342 and 343 of 2012 that I have received and reviewed the Concussion
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Obtain the concussion awareness form from a coach, school, or organization.
02
Fill out all personal information such as name, date of birth, contact information, and emergency contacts.
03
Answer any questions regarding medical history or previous concussions.
04
Sign and date the form to acknowledge that you understand the information provided.
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Who needs concussion awareness form with?

01
Athletes participating in contact sports
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Students involved in physical education classes
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Participants in recreational activities or leagues
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Concussion awareness form is filled with information about concussions and protocols for handling them.
Athletes, coaches, medical staff, and other personnel involved in sports activities are required to file the form.
The form can be filled out by providing information about concussions, symptoms, prevention, and reporting procedures.
The purpose of the form is to increase awareness about concussions and ensure proper protocols are in place to address them.
Information about concussions, symptoms, prevention strategies, and reporting procedures must be reported on the form.
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