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Roger Lowe Middle School
Student and Parent Concussion Informed Consent Form
201516
This consent form was developed to provide students and parents with current and relevant information regarding
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02
Fill in your personal details accurately, such as your full name, address, phone number, and email address.
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Specify the date on which you are filling out the form.
04
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05
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Sign and date the form to indicate your consent and agreement.
08
Submit the form as instructed, either by mailing it, submitting it online, or handing it directly to the recipient.
Who needs this consent form:
01
Individuals who are participating in a research study or clinical trial may need to fill out a consent form to provide their informed consent prior to involvement.
02
Parents or legal guardians may need to fill out a consent form on behalf of minors or individuals who are incapable of giving consent themselves.
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Participants in certain activities or events, such as sports competitions, field trips, or community programs, may be required to fill out a consent form, ensuring their understanding and agreement with participation conditions and potential risks.
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The form must be completed by providing all requested information accurately and signing where indicated.
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The purpose of this form is to ensure that all parties involved are aware of and agree to the action or decision being taken.
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