Rowans Law (Tillsonburg Minor Hockey Inc.)
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Player's First Name
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Player's Last Name
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Registered Team
Which division is your child registered in
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Parent/Guardian: I acknowledge that I have fully reviewed and commit to this Concussion Code of Conduct.
*
Acknowledgement of Review
Concussion Awareness Resource consists of Concussion Code of Conduct (included in document); Removal from Play; Return to Play (included in document); age appropriate concussion material (in Concussion Awareness Sheet team home page library) and links to resources (in Concussion Awareness Sheet in team home page library)
I confirm that I have reviewed the Ontario Ministry/OWHA/OMHA Concussion Awareness Resource, including the age appropriate appendix and commit to operating within its parameters.
Player's Name if older than 18
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I confirm that I have reviewed the Ontario Ministry/OWHA/OMHA Concussion Awareness Resource, including the age appropriate appendix and commit to operating within its parameters.
Name of Parent if above signatory is under 18 years of age
Date
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March 2023
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March 2023
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Human Validation
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Human Validation Failed, Please Try Again
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