Concussion Code of Conduct – Coach/Trainers/Staff Please enable JavaScript in your browser to complete this form.Coach/Trainer/Staff *FirstLastI can help prevent concussions through my: Efforts to ensure that my athletes wear the proper equipment and wear it correctly, efforts to help my athletes develop their skills and strength so they can participate to the best of their abilities, respect for the rules of my sport or activity & efforts to ensure that my athletes do and commitment to fair play and respect for all (respecting other coaches, team trainers, officials and all participants and ensuring my athletes respect others and play fair). *YesNoI will care for the health and safety of all participants by taking concussions seriously. 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 may cause the brain to move around inside the skull and result in a concussion, a person doesn’t need to lose consciousness to have had a concussion, an athlete with a suspected concussion should stop participating in training, practice or competition immediately, I have a commitment to concussion recognition and reporting, including self-reporting of possible concussion and reporting to a designated person when an individual suspects that another individual may have sustained a concussion, I will report all concussions, or suspected concussions, to the organization’s Risk Management coordinator and continuing to participate in further training, practice or competition with a suspected concussion increases a person’s risk of more severe, longer lasting symptoms, and increases their risk of other injuries or even death. *YesNoI will create an environment where participants feel safe and comfortable speaking up. I will: Encourage athletes not to hide their symptoms, but to tell me, an official, parent or another adult they trust if they experience any symptoms of concussion after an impact, lead by example. I will tell a fellow coach, official, team trainer and seek medical attention by a physician or nurse practitioner if I am experiencing any concussion symptoms, understand and respect that any athlete with a suspected concussion must be removed from sport and not permitted to return until they undergo a medical assessment by a physician or nurse practitioner and have been medically cleared to return to training, practice or competition and for coaches only: Commit to providing opportunities before and after each training, practice and competition to enable athletes to discuss potential issues related to concussions. *YesNoI will support all participants to take the time they need to recover, I understand my commitment to supporting the return-to-sport process, I understand the athletes will have to be cleared by a physician or nurse practitioner before returning to sport and I will respect my fellow coaches, team trainers, parents, physicians and nurse practitioners and any decisions made with regards to the health and safety of my athletes. *YesNoDate / TimeBy providing my email as an Electronic Signature here, I acknowledge that I have fully reviewed and commit to this Concussion Code of Conduct.as a Coach/Trainer/Staff *EmailConfirm EmailCustom Captcha * = Submit
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