PARENT & ATHLETE AGREEMENT
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As a Parent and as an Athlete it is important to recognize the signs, symptoms,and behaviors of concussions. By agree to this form you are stating that you understand the importance of recognizing and responding to the signs, symptoms, and behaviors of a concussion or head injury.
Parent's Name
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Athletes Name
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By Checking this Box Parent understand what a concussion is and how it may be caused. Parent also understand the common signs, symptoms, and behaviors. Parent & Athlete agree that my child must be removed from practice/play if a concussion is suspected. Parent understand that it is their responsibility to seek medical treatment if a suspected concussion is reported to me. I understand that my child cannot return to practice/play until providing written clearance from an appropriate health care provider to his/her coach *
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