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PAGE 1 of 1CONCUSSION INFORMATION PARENT AND STUDENT VERIFICATIONIn accordance with AS 14.30.142, the School District requires that each athlete, and each minor athletes parent/guardian, receive written
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01
Obtain the concussion information form titled 'Concussion Information Parent and Student Verification'.
02
Fill out all the required fields on the form, such as student's name, parent/guardian information, and medical history.
03
Sign and date the form as both the parent/guardian and student to verify the information provided.
04
Make a copy of the completed form for your records.
05
Submit the form to the appropriate school or organization as required.

Who needs concussion-information-parent-and-student-verification?

01
Student athletes participating in sports programs.
02
Parents/guardians of student athletes.
03
Schools or organizations hosting sports events or activities.
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Concussion-information-parent-and-student-verification is a form that is used to ensure that parents and students are informed about concussions and their risks, and it confirms that they have understood this information before participating in sports.
Parents or guardians of student-athletes are required to file the concussion-information-parent-and-student-verification form prior to the student's participation in school-sponsored sports.
To fill out the concussion-information-parent-and-student-verification form, parents and students should read through the provided information on concussions, acknowledge understanding, and sign the form accordingly.
The purpose of the concussion-information-parent-and-student-verification is to educate parents and students about the signs, symptoms, and risks associated with concussions to promote safety in athletic activities.
The information that must be reported includes the student-athlete's name, the date of the form, an acknowledgment of understanding the concussion information, and signatures from the parent and student.
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