What does the concussion policy acknowledgement do?

It records a parent or legal guardian’s understanding of the Hart County Recreation and Parks Department’s concussion awareness policy and procedures.

What information does the form ask for?

It asks for the parent or legal guardian’s name, the child’s name, the parent or guardian’s signature, and the date.

Do I need a notary for the concussion policy acknowledgement?

No. The parent or legal guardian signs and dates this document without a notary; no notarized attachment or sworn step is listed.

Hart County, GA · Hart County

No notary required

Parent/Legal Guardian Acknowledgement of Concussion Awareness Policy and Procedure

Hart County parents or legal guardians complete this acknowledgement to confirm their understanding of the Recreation and Parks Department’s concussion policy.

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: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This acknowledgement documents a parent or legal guardian’s understanding of Hart County Recreation and Parks Department’s Concussion Awareness Policy and Procedures. It explains the policy’s purpose, response to suspected concussion or head injury, and return-to-play clearance. The form asks for the parent or guardian’s name, the child’s name, a signature, and the date; it does not state a submission deadline or method.

Who needs it

A parent or legal guardian completing the concussion policy acknowledgement for a child participating in Hart County Recreation and Parks Department activities should use this form.

How to submit it

Submit it to the Hart County Recreation and Parks Department named on the form; check the county website for current contact details.

About notarization

This document is signed without a notary; the parent or legal guardian signs and dates it, and no notarized attachment or sworn step is listed.

How to submit this form

1
Download the Form
Download the Parent/Legal Guardian Acknowledgement of Concussion Awareness Policy and Procedure.
2
Complete the Names
Write the parent or legal guardian’s name and the child’s name in the spaces provided.
3
Sign and Date
The parent or legal guardian prints and signs their name, then enters the date.
4
Submit to the Department
Submit the completed form to the Hart County Recreation and Parks Department; check the county website for current contact details.

Frequently asked questions

What does the concussion policy acknowledgement do?: It records a parent or legal guardian’s understanding of the Hart County Recreation and Parks Department’s concussion awareness policy and procedures.
What information does the form ask for?: It asks for the parent or legal guardian’s name, the child’s name, the parent or guardian’s signature, and the date.
Do I need a notary for the concussion policy acknowledgement?: No. The parent or legal guardian signs and dates this document without a notary; no notarized attachment or sworn step is listed.
How do I submit the concussion policy acknowledgement?: Submit it to the Hart County Recreation and Parks Department named on the form. Check the county website for current contact details.

Need something notarized?

This Parent/Legal Guardian Acknowledgement of Concussion Awareness Policy and Procedure doesn’t need a notary, but if you have another Hart County form that does, a commissioned online notary can help.