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THE THORNHILL CLUB

Receipt of Review of Concussion Awareness Resource

Please click on the resource below that applies to you. These resources are also available in other languages. Please contact the curling office (jhastings@thornhillgcc.com) for more information.

Concussion Awareness Resource, Ages 10 and Under (ontario.ca)

Concussion Awareness Resource, Ages 11 to 14 (ontario.ca)

Concussion Awareness Resource, Ages 15 and up (ontario.ca)

Thank you for completing your review of the Concussion Awareness Resource.

·       Under Rowan’s Law, your sport organization will ask you to confirm that you reviewed one of the Concussion Awareness Resources in this website (Ontario.ca/concussions) before you can register/participate in a sport.

·       You must review one of the resources once a year, and then confirm that you have completed the review every time you register with a sport organization. If you want to use this form to show that you have reviewed the concussion awareness resource, you can provide the completed form to your sport organization(s).

·       If you would like to have a record of your review of the concussion awareness resource, you can complete this form and keep it as a receipt to remind you of the date on which you reviewed it.

·       Once you complete this form, you can save it (to your personal device/computer) or print this page to share with your sport organization and/or to serve as a reminder of when to review the Concussion Awareness Resources again next year.

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Second Participant's Name

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

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

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

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

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

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

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

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Ninth Participant's Date of Birth*
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Tenth Participant's Date of Birth*
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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.


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