Concussion Code of Conduct for Athletes and Parents/Guardians (Strathroy United FC)

Print Concussion Code of Conduct for Athletes and Parents/Guardians
For Outdoor 2020 all athletes under 26 years of age, parents of athletes under 18, Team Officials confirm every year that they have: - review Ontario’s Concussion Awareness Resources. Can be found at this link: https://www.ontario.ca/page/rowans-law-concussion-awareness-resources - Athletes/parents of athletes to read and sign the Concussion Code of Conduct for Athletes & Parents/Guardians - Team Officials to read and sign the Concussion Code of Conduct for Coaches and Team Trainers Forms to be signed (electronic click/check or physical signature) PRIOR to participating in their sport. Club is to maintain record.
Player & Parent Information
Please provide player & parent information. For Families with Multiple Players, each player must submit a seperate form.
  1. Amber
  2. Smith
  3. (ie 2005)
  4. (ie John Smith)
  5. Example: [email protected] Your submission will be sent to this address.
  1. Age Group is based on the players birth year
  2. Please acknowledge that you have reviewed one of the E-Booklets at the following links.

    Ages 10 and Under

    Ages 11-14

    Ages 15 and Up
  3. I will help prevent concussions by:

    • Wearing the proper equipment for my sport and wearing it correctly.
    • Developing my skills and strength so that I can participate to the best of my ability.
    • Respecting the rules of my sport or activity.
    • My commitment to fair play and respect for all* (respecting other athletes, coaches, team trainers and officials).

    I will care for my health and safety by taking concussions seriously, and I understand that:

    • A concussion is a brain injury that can have both short- and long-term effects.
    • A blow to my head, face or neck, or a blow to the body that causes the brain to move around inside the skull may cause a concussion.
    • I don’t need to lose consciousness to have had a concussion.
    • I have a commitment to concussion recognition and reporting, including self-reporting of possible concussion and reporting to a designated person when and individual suspects that another individual may have sustained a concussion.* (Meaning: If I think I might have a concussion I should stop participating in further training, practice or competition immediately, or tell an adult if I think another athlete has a concussion).
    • Continuing to participate in further training, practice or competition with a possible concussion increases my risk of more severe, longer lasting symptoms, and increases my risk of other injuries.

    I will not hide concussion symptoms. I will speak up for myself and others.

    • I will not hide my symptoms. I will tell a coach, official, team trainer, parent or another adult I trust if I experience any symptoms of concussion.
    • If someone else tells me about concussion symptoms, or I see signs they might have a concussion, I will tell a coach, official, team trainer, parent or another adult I trust so they can help.
    • I understand that if I have a suspected concussion, I will be removed from sport and that I will not be able to return to training, practice or competition until I undergo a medical assessment by a medical doctor or nurse practitioner and have been medically cleared to return to training, practice or competition.
    • I have a commitment to sharing any pertinent information regarding incidents of removal from sport with the athlete’s school and any other sport organization with which the athlete has registered* (Meaning: If I am diagnosed with a concussion, I understand that letting all of my other coaches and teachers know about my injury will help them support me while I recover.)

    I will take the time I need to recover, because it is important for my health.

    • I understand my commitment to supporting the return-to-sport process* (I will have to follow my sport organization’s Return-to-Sport Protocol).
    • I understand I will have to be medically cleared by a medical doctor or nurse practitioner before returning to training, practice or competition.
    • I will respect my coaches, team trainers, parents, health-care professionals, and medical doctors and nurse practitioners, regarding my health and safety.
Human Validation
Printed from strathroysoccer.com on Monday, March 30, 2020 at 10:19 PM