IC 2013 Athlete Information Sheet & CCPA Consent Form

Leah Howard, Contingent Manager, needs to collect some personal and health information from all athletes so she can better serve the needs of the Contingent members.

This form also contains a release allowing team management to seek medical treatment for your child in the event of an emergency. It also contains a release that allows Leah, who is a certified Doctor of Chiropractic, to assess, treat, and tape/support the athlete if an injury was to occur.

There is an additional Informed Consent Form from the CCPA (Canadian Chiropractic Protective Association) attached. This consent is optional, but is required if you want Leah, our Team Manager, to administer chiropractic treatment if necessary. Without hthis consent, Leah will assess, administer first aid and tape/support only.

The Athlete Information Sheet must be completed and returned to Leah Howard, Contingent Manager, at the Contingent Meeting on May 20. The CCPA Informed Consent Form, if desired, should also be returned to Leah at the Contingent Meeting on May 20.

AttachmentDateSize
File Athlete_Information_Sheet.pdf14/05/13 9:51 am389.7 KB
File CCPA_Consent_Form.pdf14/05/13 9:52 am83.42 KB
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