HEALTH INSURANCE VERIFICATION:
Education Code Section 32221 requires that athletic team insurance must be provided at the expense of the school districts (1) only in the event that a student does not otherwise have insurance or a reasonable equivalent of health benefits coverage, and (2) only if the student cannot afford such insurance or health benefits coverage.
AUTHORIZATION & CONSENT FOR MEDICAL TREATMENT
In the event of an injury or illness to my child while participating on the athletic team, I do hereby authorize the Trinity Jr Wolve Youth Football, as agent for the undersigned, to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable by, and is to be rendered under, the general or special supervision of any physician and/or surgeon, whether such diagnosis or treatment is rendered at the office of said physician or at any medical facility.
It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care being required but is given to provide authority and power on the part of the aforesaid agent to give specific consent to any and all such diagnosis, treatment or hospital care which the aforementioned physician in the exercise of his/her best judgment may deem advisable.
This authorization shall remain effective through the conclusion of the sport season, including any playoff or championship competition, unless revoked in writing and delivered to said agent.
1: Sprains/strains
2: Fractured Bones
3: Unconsciousness
4: Head and/or back injuries
5. Paralysis
6: Loss of eyesight
7: Communicable diseases
8: Death
Why am I receiving this information?
You are receiving this information sheet about concussions because of California state law AB 25 (effective January 1, 2012), now Education Code § 49475:
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The law requires a student-athlete who may have a concussion during a practice or game to be removed from the activity for the remainder of the day.
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Any student-athlete removed for this reason must receive a written note from a physician trained in the management of concussion before returning to practice.
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Before a student-athlete can start the season and begin practice in a sport, a concussion information sheet must be signed and returned to the program by the student-athlete and the parent or guardian.
[Every 2 years all coaches are required to receive training about concussions (AB 1451), sudden cardiac arrest (AB 1639), and heat illness (AB 2500), and certification in First Aid training, CPR, and AEDs (life-saving electrical devices that can be used during CPR)].
What is a concussion and how would I recognize one?
A concussion is a kind of brain injury. It can be caused by a bump or hit to the head, or by a blow to another part of the body with the force, that shakes the head. Concussions can appear in any sport, and can look differently in each person.
Most concussions get better with rest and over 90% of athletes fully recover. However, all concussions should be considered serious. If not recognized and managed the right way, they may result in problems including brain damage and even death.
Most concussions occur without being knocked out. Signs and symptoms of concussion (see back of this page) may show up right after the injury or can take hours to appear. If your child reports any symptoms of concussion or if you notice some symptoms and signs, seek medical evaluation from your team’s athletic trainer and a physician trained in the evaluation and management of concussion. If your child is vomiting, has a severe headache, or is having difficulty staying awake or answering simple questions, call 911 for immediate transport to the emergency department of your local hospital.
On the CIF website is a Graded Concussion Symptom Checklist. If your child fills this out after having had a concussion, it helps the physician, athletic trainer or coach understand how they are feeling and hopefully will show improvement over time. You may have your child fill out the checklist at the start of the season even before a concussion has occurred so that we can understand if some symptoms such as headache might be a part of their everyday life. We call this a “baseline” so that we know what symptoms are normal and common for your child. Keep a copy for your records, and turn in the original. If a concussion occurs, your child can fill out this checklist again. This Graded Symptom Checklist provides a list of symptoms to compare over time to follow your child’s recovery from the concussion.
What can happen if my child keeps playing with concussion symptoms or returns too soon after getting a concussion?
Athletes with the signs and symptoms of concussion should be removed from play immediately. There is NO same day return to play for a youth with a suspected concussion. Youth athletes may take more time to recover from concussion and are more prone to long-term serious problems from a concussion.
Even though a traditional brain scan (e.g., MRI or CT) may be “normal”, the brain has still been injured. Animal and human research studies show that a second blow before the brain has recovered can result in serious damage to the brain. If your athlete suffers another concussion before completely recovering from the first one, this can lead to prolonged recovery (weeks
to months), or even to severe brain swelling (Second Impact Syndrome) with devastating consequences. There is an increasing concern that head impact exposure and recurrent concussions may contribute to long-term neurological problems. One goal of concussion education is to prevent a too early return to play so that serious brain damage can be prevented.
For Football Players/Cheerleaders
TYF FUNdamentals are FUN, Equality, Education, Encouragement, Citizenship and Community. The physical, social and emotional growth of youth participating in TYF is important. As a football player or cheerleader you agree to follow the Code of Conduct. If you do not, your actions will be sent to the TYF Board of Directors and General Council for review and you may not be able to continue to play or participate.
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I will have fun!
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I will have courtesy and respect for all parents, volunteers, coaches, officials, spectators and families.
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I will respect the decisions of the coaches and officials.
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I will not engage in any violence or verbal threats or use profanity either (verbal or gestures).
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I will be a steward for the sport of football and cheerleading by having fun, being fair and encouraging and by having good citizenship and sportsmanship.
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I will not engage in unsportsmanlike conduct.
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I will play every game fairly and be a good sport, win or lose.
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I will be honest and fair to all parents, volunteers, coaches, officials, spectators and families.
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I understand that this is a team sport and I will have goals and make decisions for the benefit of the team as a whole.
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I understand that athletic contests, including practice sessions, are educational experiences and opportunities.
For Parents & Volunteers
TYF FUNdamentals are FUN, Equality, Education, Encouragement, Citizenship and Community. It is essential for all parents, volunteers, coaches, spectators and families, to set a positive (and lead by) example (both on and off the field), for youth football players and cheerleaders. Parents, volunteers, coaches, spectators and families must adhere to the Code of Conduct. All compliance infractions will be reviewed by the TYF Board of Directors (Executive Board) and General Council for appropriate and immediate actions (if necessary) including ejection from the stands and being barred from future games and league sponsored activities.
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I will have courtesy and respect for all parents, volunteers, coaches, officials, spectators and families.
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I will respect the decisions of coaches and officials.
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I will not criticize or engage in any violence or verbal threats or use profanity either (verbal or gestures) towards football players, cheerleaders, parents, volunteers, coaches, officials, spectators and families.
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I will support coaches and refrain from excessive “sideline coaching” from the stands and let the coaches coach without interference.
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I will exercise self-control at all times in order to lead by example for football players and cheerleaders.
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I will not stand on or near the sidelines during a game and respect the boundaries at each game site.
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I will abide by the decision(s) of medical personnel in matters of football players and cheerleaders health, injuries, and physical ability to play.
Please note additional forms may be required at first practice.Thank you for registering with Trinity Jr. Wolves!