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PrairieGroveConsolidatedSchoolDistrictNo.46 ConcussionParentalNotificationForm Date: ___ Dear Parent/Guardian, Today, your child, ___, received a possible head injury during practice, competition,
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How to fill out concussion parental notification form

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How to fill out concussion parental notification form

01
Obtain the concussion parental notification form from the appropriate authority or organization.
02
Read and understand the instructions provided on the form.
03
Write the date of the concussion incident in the designated space.
04
Provide the name of the student-athlete who sustained the concussion.
05
Fill in the contact information of the student-athlete's parent or guardian, including their full name, address, phone number, and email address.
06
Provide any additional required information, such as the school or team name, coach's name, and other relevant details.
07
Review the filled-out form to ensure all information is accurate and complete.
08
Sign and date the form as the parent or guardian, indicating your consent and acknowledgment of the concussion incident.
09
Submit the completed form to the appropriate authority or organization as instructed.

Who needs concussion parental notification form?

01
Any parent or guardian of a student-athlete who has sustained a concussion typically needs to fill out the concussion parental notification form. This may apply to student-athletes participating in school sports, community sports organizations, or other programs where concussions can occur.
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The concussion parental notification form is a document used to inform parents or guardians about their child's potential concussion sustained during sports or other physical activities, outlining the risks and necessary precautions.
Coaches, athletic directors, and school officials are typically required to file the concussion parental notification form, ensuring that parents are made aware of the policies and procedures in place for handling concussions.
To fill out the concussion parental notification form, you need to provide information such as the student's name, the date of the incident, details about the activity during which the concussion occurred, and signatures from both the parent or guardian and the school representative.
The purpose of the concussion parental notification form is to educate parents about the signs and symptoms of concussions, ensuring they are informed about the risks of head injuries in sports and the importance of reporting such incidents.
The form must report information such as the student's name, the date of the incident, the activity involved, any observed symptoms of concussion, and acknowledgment of understanding the related risks by the parent or guardian.
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