CONCUSSION CODE OF CONDUCT, ATHLETES AND PARENTS

ROWAN'S LAW

Concussion Code of Conduct for Athletes and Parents/Guardians (for athletes under 18 year of age)

By Ontario law, this form must be completed annually by athletes under 26 years of age and parents/guardians of athletes under 18. Items marked with an asterisk (*) are mandatory by O.Reg. 161/19: General

Please review the Concussion Code of Conduct for Athletes and Parents. Also, one of the Concussion Awareness Resources must be reviewed annually.

Instead of signing a paper copy, please acknowledge that you have completed these requirements using the form below.

Reference Materials for Athletes and Parents

The Concussion Awareness Resources are available as a booklet, a video, or an interactive learning e-module on the Government of Ontario website at https://www.ontario.ca/page/rowans-law-concussion-awareness-resources

Statements to be acknowledged in the form below:

I acknowledge that I have fully reviewed and commit to this Concussion Code of Conduct.
I also agree that I have completed an annual review of one of the Concussion Awareness Resources offered by the Province of Ontario.

ROWAN'S LAW ACKNOWLEDGEMENT FORM

Today's Date

This form is intended for Athletes who are under the age of 26 and Parents or Guardians of Athletes who are under the age of 18.

Phone number of a Parent or Guardian

Parent Section
This section should be completed by a parent or guardian.

Parents Name

If any of the athletes being registered are 18 years of age or younger, a parent of guardian must complete this form.
If all athletes being registered are between 19 and 26 years of age, one of the athletes may enter their name in this field.

Parents Email

You are acknowledging that you have reviewed and commit to the concussion code of conduct for athletes and parents of athletes who are under 18 years of age, and that you have competed an annual review of one of the concussion awareness resources.

Yes, I accept the terms & conditions

Athlete Section

This section is to name the athletes being registered for a sports program through the KCA. Up to four athletes can be specified using this form

Please enter full name of athlete #1.

Please enter full name of athlete #2

Please enter full name of athlete #3

You are acknowledging that all of the athletes being registered, to the best of their abilities, have reviewed and commit to the concussion code of conduct for athletes and parents of athletes who are under 18 years of age, and that they have completed an annual review of one of the concussion awareness resources offerred by the Province of Ontario.

Yes, I accept terms & conditions

Thanks for submitting!