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TAS Concussion Policy 

TAS Concussion Policy

Any Team Alpental Snoqualmie (TAS) athlete suspected of having sustained a concussion/ traumatic brain injury must be immediately removed from participation in any TAS sporting events (e.g. sanctioned training, practice, camps, competitions or tryouts), by a coach, parent, or official overseeing such sporting event. The athlete will be prohibited from further participation until evaluated and cleared in writing to resume participation in TAS sporting events by a medical doctor, or a qualified health care provider trained in the evaluation and management of concussive head injuries. The medical doctor or healthcare professional must certify in the clearance letter that he/she has successfully completed a continuing education course in the evaluation and management of concussive head injuries within three years of the day on which the written statement is made. Upon removal of an athlete from participation for a suspected concussion/traumatic brain injury, the coach, parents or official making the removal must inform athlete’s parents. Athletes who have subsequently been medically cleared to resume participation must provide such medical clearance (as described above) to the TAS Program Director (Chris Loewy) in order to be permitted to participate in TAS sporting events.

Risk of Continued Participation

A repeat concussion that occurs before the brain recovers from the first - usually within a short period of time (hours, days, or weeks) - can slow recovery or increase the likelihood of having long-term problems. In rare cases, repeat concussions can result in edema (brain swelling), permanent brain damage, and even death.

TAS recommends that all members review the Center for Disease Control’s resources on concussion awareness.

Action Plan

  • Remove the athlete from activity – training or competition, when suspected of having sustained a concussion or TBI.
  • Inform the athletes' parents/guardian.
  • Allow the athlete to return to sport when cleared by a medical doctor or qualified medical provider trained in concussion management.

TAS Administrative Role

  • TAS has created an online registration process to inform and capture necessary electronic signatures. https://waiver.smartwaiver.com/w/5de96b9c6a9fb/web/
  • TAS will receive notifications from coaches/officials/parents of suspected concussions.
  • TAS will place athletes with suspected concussions on medical hold from all physical activities.
  • TAS will remove the medical hold only after athlete is cleared by a qualified medical provider and proper documentation has been supplied.

TAS Concussion Policy Summary

  • Adopted a concussion policy.
  • Informed Parents/Guardians of the policy.
  • Obtained Parent/Guardian’s signature on the policy.
  • Required removal of the athlete suspected of having sustained a concussion.
  • Prohibited suspected athlete from participating in all TAS activities until cleared by a medical doctor or qualified medical provider trained in concussion management.
First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

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Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

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Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

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Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

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Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

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Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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