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CLAY MIDDLE SCHOOL 20122013 CONCUSSION ACKNOWLEDGEMENT AND SIGNATURE FORM FOR PARENTS AND STUDENT ATHLETES Name (Please Print): Sport(s) Participating In: Date: Due to the new law Student Athletes:
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How to fill out concussion risk acknowledgement bformb

How to fill out concussion risk acknowledgement form:
01
Begin by carefully reading through the form and familiarizing yourself with its contents. It is important to understand the risks and implications associated with concussions.
02
Provide your personal information accurately, such as your name, contact information, and date of birth. This ensures that the form is properly linked to your records.
03
Take note of any sections that require you to provide specific details, such as your medical history or any previous concussion incidents. Be honest and thorough in your responses.
04
If there are any questions or statements that you do not understand, seek clarification from a healthcare professional or someone knowledgeable about concussions.
05
Consider adding any additional information or concerns you may have in the designated spaces provided. This could include any specific risks or symptoms you experience or any accommodations you may require.
06
Carefully review your answers before signing and dating the form. Ensure that everything is accurate and complete.
07
If necessary, make a copy of the completed form for your personal records before submitting it to the appropriate party.
Who needs concussion risk acknowledgement form?
01
Athletes: Particularly those participating in contact sports or activities with a high risk of head injuries should complete this form. These include sports such as football, hockey, rugby, soccer, and others.
02
Sports organizations: Schools, colleges, and sports clubs often require athletes to complete this form as part of their enrollment process or as a condition for participating in sports activities.
03
Coaches and trainers: It is essential for coaches and trainers to have a record of players who have acknowledged the risks associated with concussions. This form helps them in monitoring and managing potential head injuries during practices and games.
04
Parents and guardians: If you are a parent or guardian of a minor participating in sports, you may also be required to fill out this form. This ensures that you have acknowledged and understood the risks associated with concussions and consent to your child's participation while being informed.
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What is concussion risk acknowledgement form?
Concussion risk acknowledgement form is a document that individuals sign to acknowledge the risk of concussion in a particular activity or sport.
Who is required to file concussion risk acknowledgement form?
Anyone participating in an activity or sport where there is a risk of concussion may be required to file a concussion risk acknowledgement form.
How to fill out concussion risk acknowledgement form?
Concussion risk acknowledgement forms are typically filled out by providing personal information and signing to acknowledge the risks.
What is the purpose of concussion risk acknowledgement form?
The purpose of concussion risk acknowledgement form is to ensure that individuals are informed about the risks of concussions and knowingly accept those risks.
What information must be reported on concussion risk acknowledgement form?
Information required on a concussion risk acknowledgement form may include personal details, contact information, and a signature acknowledging the risks.
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