Maryland State Department Of Education Concussion Awareness Parent/student-Athlete Acknowledgement Statement Page 12
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12Team Members
Role(s)
Responsibilities
• Provide students and parents/guardians with concussion
assigned.
information, prior to sports participation.
• Review safety techniques, sportsmanship, and proper equipment
with student athletes.
• Understand the sport and create drills, practice sessions, and
instruction to reinforce safety.
• During practice and /or contests, remove an athlete if a
TBI/concussion is suspected.
• Contact parent/guardian to pick up student or call 911 if
appropriate or parents cannot be located.
• Provide parent and Emergency Medical Technician (EMT) with
information about injury or suspected TBI/concussion including
signs and symptoms observed.
• Complete Student Accident/Injury Form or other school system
form regarding TBI/concussion.
• Provide a copy of the completed student accident/injury form to
athletics director.
• Follow up with parents/guardian regarding student athlete’s well-
being.
• Collect the signed Return-to-Play clearance and authorization
form.
• Provide a copy of the Return to Play clearance form to athletics
director and communicate with school administrator and school
nurse.
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