Concussion & Cardiac Arrest - Evergreen Region Volleyball 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the 'Club' and 'Team Name' at the top of the form. Ensure that these fields are filled out clearly.
  3. Fill in the player's personal information, including 'First Name', 'Last Name', and 'Birth Date'. Select the appropriate gender option.
  4. Provide contact details for the primary guardian, including names and phone numbers. Make sure to include alternate contact information as well.
  5. Detail any medical conditions, medications, and allergies in the designated sections. This is crucial for ensuring player safety.
  6. Answer the concussion history question honestly, providing dates and details if applicable.
  7. Ensure both participant and parent/guardian sign where indicated, confirming understanding of terms and conditions.
  8. Review all entries for accuracy before saving or submitting your completed form.

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13% of concussions are related to recreation and non-contact sports including recess, playing outside, gym class, and swimming. The sports with the highest rates of concussion for boys are football, ice hockey and lacrosse. The sports with the highest rates of concussion for girls are soccer, lacrosse and basketball.
Based on the national estimate, the majority of concussions resulted from participation in football (40.5%, n = 55 007), followed by girls soccer (21.5%, n = 29 167), boys soccer (15.4%, n = 20 929), and girls basketball (9.5%, n = 12 923).
6-Step Return to Play Progression After a concussion, an athlete should only return to sports practices with the approval and under the supervision of their healthcare provider. Each step typically takes a minimum of 24 hours.

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