Hart County, GA · Hart County
Concussion Awareness Policy and Procedure Acknowledgement
Hart County Recreation and Parks Department volunteers, contractors, and trainers sign this acknowledgement to confirm they understand the department’s concussion awareness policy and procedures.
At a glance
- Issued by
- City of Hart County · Hart County, Hart County, Georgia
- Notarization
- Not required: file this form without a notary.
- Official source
- hartcountyga.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This acknowledgement confirms that a volunteer, contractor, or trainer affiliated with the Hart County Recreation and Parks Department understands its concussion awareness policy and procedures. It describes removal from activities of participants under 18 who are suspected of having a concussion or head injury, and clearance needed before returning to play after a concussion. The signer prints their name, signs, and dates the document.
Who needs it
Volunteers, contractors, and trainers affiliated with the Hart County Recreation and Parks Department complete and sign this acknowledgement.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details. The document does not list a mailing address, email, portal, or fee.
About notarization
This document is signed without a notary; it asks the volunteer, contractor, or trainer to sign and date the acknowledgement.
How to submit this form
- 1
Download the Form
Download the concussion awareness acknowledgement PDF.
- 2
Complete the Acknowledgement
Print your name, then sign and date the acknowledgement.
- 3
Check for Attachments
The document does not identify any attachments to include.
- 4
Submit to the County
Submit it to the county department named on the form; check the county website for current contact details.
Frequently asked questions
- Who completes the concussion awareness acknowledgement?
- The form is for volunteers, contractors, and trainers affiliated with the Hart County Recreation and Parks Department.
- What does the acknowledgement cover?
- It confirms understanding of the department’s concussion awareness policy, including removing participants under 18 suspected of a concussion or head injury and requiring documented health-care-provider clearance before return to play after a concussion.
- Do I need a notary for the concussion awareness acknowledgement?
- No. The document has no notary block; the volunteer, contractor, or trainer signs and dates it.
- How do I submit the acknowledgement?
- The document does not provide a submission address, email, portal, or fee. Submit it to the county department named on the form and check the county website for current contact details.