Columbus Youth Soccer Club

Acknowledgement

YOU MUST RETURN A SIGNED COPY OF THIS ACKNOWLEDGEMENT TO THE CYSC OFFICE BEFORE FEBRUARY 17, 2014
Copies available in the office, from your coach, or CLICK HERE to print now

This is new state law that we must abide by for the safety of our athletes.
Anyone who has not returned a signed copy by the deadline will not be allowed to play or practice until completed and no refunds will be given.

Acknowledgement of Receipt of Concussion in Youth Sports

Fact Sheet and Waiver of Liability

 

Effective January 1, 2014, the State of Georgia requires counties that provide public recreation facilities that organize youth athletic activities for which a participation fee is charged to provide an information sheet to all coaches, officials, youth athletes and their parents and guardians informing them of the nature and risk of concussions and head injuries. The parents and guardians must sign an acknowledgment that they received the fact sheet. As provided by the O.C.G.A. §20-2-324.1(e), complying with the notice requirements of this statute shall not cause any liability or create any cause of action against the Columbus Consolidated Government or its Department of Parks and Recreation Department.

 

I HAVE RECEIVED AND READ THE FACT SHEET FOR ATHLETES REGARDING CONCUSSIONS IN YOUTH SPORTS, AND I UNDERSTAND THAT NO ADDITIONAL LIABILITIES OR RESPONSIBILITIES ON THE PART OF COLUMBUS CONSOLIDATED GOVERNMENT OR ITS DEPARTMENT OF PARKS AND RECREATION ARE CREATED BY THE FURNISHING OF THIS INFORMATION.

 



 

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PARENT/GUARDIAN SIGNATURE                                                        DATE

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