2019-2020 Concussion COC Athletes (Whitby Ringette)
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2019-2020 Concussion COC Athletes
This is the Whitby Ringette Association & Ringette Ontario Concussion Safety Policy. Please review all information and complete the required acknowledgements. Contact Liz Gill at
[email protected]
with any questions.
Athlete Information
Athlete #1 First and Last Name
*
Athlete #1 Whitby Ringette Team
*
Select One...
Rookie
U8
U9
U10
U12R
U12P
U14R
U14A
U16R
U16AA
U19R
U19A
Open B
Open AA
Athlete #2 First and Last Name
Athlete #2 Whitby Ringette Team
Select One...
Rookie
U8
U9
U10
U12R
U12P
U14R
U14A
U16R
U16AA
U19R
U19A
Open B
Open AA
Athlete #3 First and Last Name
Athlete #3 Whitby Ringette Team
Select One...
Rookie
U8
U9
U10
U12R
U12P
U14R
U14A
U16R
U16AA
U19R
U19A
Open B
Open AA
Parent/ Guardian First and Last Name
*
(If Under 18 Years of Age)
Email Address
*
Example:
[email protected]
Your submission will be sent to this address.
Would you like to be contact regarded Concussion Baseline Testing?
YES
Check if you would like to participate in Concussion Baseline Testing. There will be an additional cost for this service.
By clicking here, I acknowledge that I have fully reviewed and commit to this Concussion Code of Conduct
*
Rowan’s Law: Concussion Awareness Resources
I confirm that I have reviewed Ontario’s Concussion Awareness Resources by clicking on the link above.
*
Human Validation
Check The Box
*
Human Validation Failed, Please Try Again
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