Concussion Code of Conduct for Athletes and Parents/Guardians (Strathroy United FC)
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Concussion Code of Conduct for Athletes and Parents/Guardians
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Concussion Code of Conduct for Athletes and Parents/Guardians
Starting in 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.
Players First Name
*
Amber
Players Last Name
*
Smith
Birth Year
*
(ie 2005)
Parents First / Last Name
*
(ie John Smith)
Enter a Valid Email Address for your records.
Example: yo
[email protected]
. Your submission will be sent to this address.
Please select the Required age group
*
Select One...
Ages 10 and Under
Ages 11-14
Ages 15 and Up
Age Group is based on the players birth year
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
I acknowledge I have reviewed the E-Books as required.
*
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.
By checking here, I acknowledge that I have fully reviewed and commit to this Concussion Code of Conduct.
*
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