Hart County, GA · Hart County
Parent/Legal Guardian Acknowledgement of Concussion Awareness Policy and Procedure
This acknowledgement records a parent or legal guardian’s understanding of Hart County Recreation and Parks Department’s concussion awareness policy for a participant.
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
A parent or legal guardian signs this document to acknowledge the Hart County Recreation and Parks Department’s concussion awareness policy and procedures. It describes the department’s approach to suspected concussions, removal from activities, and clearance before returning to play. The form asks for the parent or guardian’s printed name, signature, date, and the participant’s name.
Who needs it
A parent or legal guardian of a participant in Hart County Recreation and Parks Department activities completes and signs this acknowledgement.
How to submit it
Submit it to the county 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 just prints their name, signs, and dates it.
How to submit this form
- 1
Download the Acknowledgement
Download the Parent/Legal Guardian Acknowledgement of Concussion Awareness Policy and Procedure PDF.
- 2
Complete the Participant Information
Write the participant’s name in the space provided.
- 3
Sign and Date
Print the parent or legal guardian’s name, sign the form, and enter the date.
- 4
Submit to the County
Submit the signed form to the county department named on the form; check the county website for current contact details.
Frequently asked questions
- Do I need a notary for the concussion policy acknowledgement?
- No. The parent or legal guardian prints their name, signs, and dates the acknowledgement; the document does not call for a notary.
- How do I submit the acknowledgement?
- Submit it to the county department named on the form. The document does not list submission contact details, so check the county website for current information.
- What information does the form ask for?
- It asks for the participant’s name and the parent or legal guardian’s printed name, signature, and date.
- What does the acknowledgement explain?
- It describes the department’s concussion awareness policy, including removal from activities when a participant under 18 is suspected of a concussion and documented health-care-provider clearance before return to play.
