Rowans Law Acknowledgement (Shelburne Minor Hockey)
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Rowans Law Acknowledgement
All Registrants registering July 1, 2019 or after must have completed and acknowledge Rowan's Law Awareness.
Participant Last Name
Participant First Name
Birthdate
Participant Role
Parent/Guardian Name
Email Address
Example:
[email protected]
Contact Number
Example: ###-###-####
I will help prevent concussions by my commitment to:
• Wearing the proper equipment for my sport and wearing it correctly;
• Respecting the rules of my sport or activity; and
• My commitment to fair play and respect for all* (respecting other athletes, coaches, team trainers and officials).
I will care for my and others 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 the head, face or neck, or a blow to the body that causes the brain to move around inside the skull may cause a concussion; and
• A person doesn’t need to lose consciousness to have had a concussion.
I will commit to:
• report any possible concussion received during participation in the OHF to a designated person;
• recognizing a concussion or possible concussion and the reporting to a designated person when an individual suspects that another individual may have sustained a concussion;
• sharing any pertinent information regarding incidents of a removal from sport with the Player’s school and other sport organization with which the player has registered;
• sharing any pertinent information regarding incidents of a concussion that have occurred outside of participation in the OHF to a designated person with your/individual’s Team;
• Complete Injury Report Forms in a timely manner and ensure they are submitted to the Member;
• Give commitment to providing opportunities before and after each training, practice and competition to enable participants to discuss potential issues related to concussions; and
• Maintain an open dialogue with all athletes and participants (and parents/guardians in cases of minors) about their health and any signs and symptoms of concussion they may experience.
I will commit to respect the OHF Removal and Return to Play Protocol by:
• Understanding 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;
• Understanding I will have to be medically cleared by a medical doctor or nurse practitioner before returning to training, practice or competition;
• Respect the roles and responsibilities of all coaches and health care professionals in Return to Play protocol; and
• Respond appropriately with Return to Play protocols if a participant is experiencing concussion related symptoms or if you suspect any participant has sustained a concussion
I confirm that I have reviewed the Concussion Code of Conduct and appropriate Concussion Awareness Resources and commit to operate within the parameters of the OHF Concussion Code of Conduct.
*
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