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    Wrestling 2023admin 072 Informed Consent - Sports Teams

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    adam
    1. This form provides informed consent for students to participate on the Father Bressani Catholic High School Wrestling team from October to March 2023-24. 2. It outlines potential risks of injury from participation and confirms understanding that the school board does not provide insurance. 3. The form requires signatures from students and parents to acknowledge understanding of risks and the school's concussion policy.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Wrestling 2023admin 072 Informed Consent - Sports Teams

    Uploaded by

    adam
    43 views1 page
    1. This form provides informed consent for students to participate on the Father Bressani Catholic High School Wrestling team from October to March 2023-24. 2. It outlines potential risks of injury from participation and confirms understanding that the school board does not provide insurance. 3. The form requires signatures from students and parents to acknowledge understanding of risks and the school's concussion policy.

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    Wrestling 2023Admin 072 Informed Consent - Sports Teams

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    1. This form provides informed consent for students to participate on the Father Bressani Catholic High School Wrestling team from October to March 2023-24. 2. It outlines potential risks of injury from participation and confirms understanding that the school board does not provide insurance. 3. The form requires signatures from students and parents to acknowledge understanding of risks and the school's concussion policy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    43 views1 page

    Wrestling 2023admin 072 Informed Consent - Sports Teams

    Uploaded by

    adam
    1. This form provides informed consent for students to participate on the Father Bressani Catholic High School Wrestling team from October to March 2023-24. 2. It outlines potential risks of injury from participation and confirms understanding that the school board does not provide insurance. 3. The form requires signatures from students and parents to acknowledge understanding of risks and the school's concussion policy.

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
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    York Catholic District School Board

    INFORMED CONSENT/PERMISSION FORM FOR SPORTS TEAMS

    Father Bressani Catholic High school is arranging to have its Wrestling team participate in tryouts, practices, exhibition
    games, games, playoffs, tournaments and transportation to and from the events. during the months of October-March ,
    2023-24

    Cost per student $ athletic fee plus tournament costs (TBD) (Please attach a cheque payable to the name of the
    school)
    Cost covers Transportation, tournaments, YRAA’s

    THIS FORM MUST BE READ AND SIGNED BY EVERY STUDENT WHO WISHES TO PARTICIPATE, AND BY A
    PARENT OR GUARDIAN OF A PARTICIPATING STUDENT.
    ELEMENTS OF RISK:
    Educational activity programs, such as participation in this team sport involve certain elements of risk. Falls, collisions and other
    incidents may occur, causing injury. The following list includes, but is not limited to, examples of the types of injury which may result
    from participating in .
    (describe sport)
    1. Bumps & bruising; muscle sprain & strain
    2. Fainting; shortness of breath; dehydration
    3. Cuts & scrapes; broken bones; dental injuries
    4. Head, neck and back injuries
    5. Concussion
    6. Death and Dismemberment
    The risk of sustaining these types of injuries result from the nature of the activity and can occur without any fault of either the student, or
    the school board, its’ employees/agents or the facility where the activity is taking place. By choosing to take part in this activity, you are
    accepting the risk that you/your child may be injured. The chance of an injury occurring can be reduced by carefully following
    instructions at all times while engaged in the activity. If you choose to participate in this team sport during the months of indicated
    above, you must understand that you bear the responsibility for any injury that might occur.
    The York Catholic District School Board does not provide accidental death, disability, dismemberment or medical expense insurance on
    behalf of the students participating in this activity.
    POLICY 212: CONCUSSIONS:
    Policy 212: Concussions will be followed if a student has sustained a hit or blow to the head or body and shows signs or symptoms of
    concussion. Management of concussion is key to supporting the student during recovery. Please be advised that your son or daughter
    will be asked to seek medical attention if signs and symptoms of concussion arise. You are advised to view the Ministry of Education’s
    approved and recommended resources link, https://www.ontario.ca/page/rowans-law-concussion-awareness-resources and to view Dr.
    Evans YouTube video with your son or daughter http://www.youtube.com/watch?v=_55YmblG9YM.
    ACKNOWLEDGEMENT:
    WE HAVE READ THE ABOVE REGARDING: 1) ELEMENTS OF RISK AND 2) POLICY 212: CONCUSSIONS
    WE HAVE ALSO DISCUSSED THE SIGNS AND SYMPTOMS OF CONCUSSION AND MANAGEMENT OF CONCUSSION
    WITH OUR CHILD BASED ON CONCUSSION GUIDELINES FOR PARENTS & CAREGIVERS AND/OR DR. EVANS
    YOUTUBE VIDEO.
    WE UNDERSTAND THAT PARTICIPATING IN THE ACTIVITY DESCRIBED ABOVE, WE ARE ASSUMING THE RISKS
    ASSOCIATED WITH DOING SO.
    Signature of Student: Date:
    Signature of Parent/Guardian: Date:

    PERMISSION
    I give __________________________________ team participate in tryouts, practices, exhibition games, games, playoffs,
    (name of student)
    tournaments and transportation to and from the events on the _______________________ team.
    during the months of ________________________ , 20____.

    Signature of Parent/Guardian: Date:


    (Students Under 18 Years)

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