Common use of SPECTATORS Clause in Contracts

SPECTATORS. The spectators, both students and adults, need to demonstrate courtesy and good sportsmanship by ▇▇▇▇▇▇▇▇ in a positive and appropriate manner for their team and never against the opponents. This is evidenced by the absence of booing and vulgarities. Spectators must also show proper acceptance of officials' judgment and the coach’s decisions. Name Birth Date Grade Gender Student’s Current School Parent's (Guardian) Name Address Cell or Home Phone Parent's daytime phone number Parent’s Email If parents cannot be contacted notify Phone Family Doctor Dr. Phone Known Allergies Insurance Carrier If student is not insured, parent assumes all medical responsibilities. Parent/Guardian must also read the Concussion Fact Sheet and sign the Acknowledgement Form (see attached). Student Name Grade Gender _ Has your child ever had a concussion? YES NO If yes, explain the incident(s) and when each occurred. Date: incident: treatment: Date: incident: treatment: Date: incident: treatment: If yes, has your student been cleared by a physician for participation from that concussion? YES NO Has your child had any recent surgeries that the coach should be aware of? YES NO Please explain: Does your child suffer from any chronic illness or disease that the coach should be aware of (diabetes, epilepsy, severe allergies, etc.)? YES NO Please List: Does your child have asthma? YES NO If yes, does your child have an inhaler with them at practices and competitions? YES NO Is your child currently taking any medications? YES NO Please List: Is there any past medical history you would like their coach to be aware of? YES NO Please List/Explain: Please indicate any other medical information you feel may be important for the coach to know. I, (Parent/Guardian), by signing below, hereby acknowledge that the ▇▇▇▇ ▇▇▇ School District has provided me with the necessary and appropriate information on concussions as mandated under subsection 33-1625, Idaho Code. The information included appropriate guidelines that identified the signs and symptoms of concussion and head injury, and described the nature and risk of concussion and head injury with standards of the Centers for Disease Control and Prevention. I acknowledge that in addition to receiving the information in the above paragraph, that I understand the nature of concussion, the signs and symptoms of concussion, and the risks of allowing a student athlete to continue to play after sustaining a concussion. Student Signature Date (mm/dd/yyyy) Parent/Guardian Signature Date (mm/dd/yyyy) If your child has experienced a bump or blow to the head during a game or practice, look for any of the following signs of a concussion: SIGNS OBSERVED BY PARENTS/ SYMPTOMS REPORTED BY ATHLETE: GUARDIANS: • Appears dazed or stunned • Headache or “pressure” in head • Is confused about assignment or position • Nausea or vomiting • Forgets an instruction • Balance problems or dizziness • Is unsure of game, score, or opponent • Double or blurry vision • Moves clumsily • Sensitivity to light • Answers questions slowly • Sensitivity to noise • Loses consciousness (even briefly) • Feeling sluggish, hazy, foggy, or groggy • Shows mood, behavior, or personality changes • Concentration or memory problems • Confusion • Just not “felling right” or is “feeling down” Be alert for symptoms that worsen over time. Your child or teen should be seen in an emergency department right away if s/he has: • One pupil (the black part in the middle of the eye) larger than the other • Drowsiness or cannot be awakened • A headache that gets worse and does not go away • Weakness, numbness, or decreased coordination • Repeated vomiting or nausea • Slurred speech • Convulsions or seizures • Difficulty recognizing people or places • Increasing confusion, restlessness, or agitation • Unusual behavior • Loss of consciousness (even a brief loss of consciousness should be taken seriously)

SPECTATORS. The spectators, both students and adults, need to demonstrate courtesy and good sportsmanship by ▇▇▇▇▇▇▇▇ in a positive and appropriate manner for their team and never against the opponents. This is evidenced by the absence of booing and vulgarities. Spectators must also show proper acceptance of officials' judgment and the coach’s decisions. Name Birth Date Grade Gender Student’s Current School Parent's (Guardian) Name Address Cell or Home Phone Parent's daytime phone number Parent’s Email If parents cannot be contacted notify Phone Family Doctor Dr. Phone Known Allergies Insurance Carrier If student is not insured, parent assumes all medical responsibilities. Parent/Guardian must also read the Concussion Fact Sheet and sign the Acknowledgement Form (see attached). Student Name Grade Gender _ Has your child ever had a concussion? YES NO If yes, explain the incident(s) and when each occurred. Date: incident: treatment: Date: incident: treatment: Date: incident: treatment: If yes, has your student been cleared by a physician for participation from that concussion? YES NO Has your child had any recent surgeries that the coach should be aware of? YES NO Please explain: Does your child suffer from any chronic illness or disease that the coach should be aware of (diabetes, epilepsy, severe allergies, etc.)? YES NO Please List: Does your child have asthma? YES NO If yes, does your child have an inhaler with them at practices and competitions? YES NO Is your child currently taking any medications? YES NO Please List: Is there any past medical history you would like their coach to be aware of? YES NO Please List/Explain: Please indicate any other medical information you feel may be important for the coach to know. I, (Parent/Guardian), by signing below, hereby acknowledge that the ▇▇▇▇ ▇▇▇ School District has provided me with the necessary and appropriate information on concussions as mandated under subsection 33-1625, Idaho Code. The information included appropriate guidelines that identified the signs and symptoms of concussion and head injury, and described the nature and risk of concussion and head injury with standards of the Centers for Disease Control and Prevention. I acknowledge that in addition to receiving the information in the above paragraph, that I understand the nature of concussion, the signs and symptoms of concussion, and the risks of allowing a student athlete to continue to play after sustaining a concussion. Student Signature Date (mm/dd/yyyy) Parent/Guardian Signature Date (mm/dd/yyyy) If your child has experienced a bump or blow to the head during a game or practice, look for any of the following signs of a concussion: SIGNS OBSERVED BY PARENTS/ SYMPTOMS REPORTED BY ATHLETE: GUARDIANS: • Appears dazed or stunned • Headache or “pressure” in head • Is confused about assignment or position • Nausea or vomiting • Forgets an instruction • Balance problems or dizziness • Is unsure of game, score, or opponent • Double or blurry vision • Moves clumsily • Sensitivity to light • Answers questions slowly • Sensitivity to noise • Loses consciousness (even briefly) • Feeling sluggish, hazy, foggy, or groggy • Shows mood, behavior, or personality changes • Concentration or memory problems • Confusion • Just not “felling right” or is “feeling down” Be alert for symptoms that worsen over time. Your child or teen should be seen in an emergency department right away if s/he has: • One pupil (the black part in the middle of the eye) larger than the other • Drowsiness or cannot be awakened • A headache that gets worse and does not go away • Weakness, numbness, or decreased coordination • Repeated vomiting or nausea • Slurred speech • Convulsions or seizures • Difficulty recognizing people or places • Increasing confusion, restlessness, or agitation • Unusual behavior • Loss of consciousness (even a brief loss of consciousness should be taken seriously).

SPECTATORS. The spectators, both students and adults, need to demonstrate courtesy and good sportsmanship by ▇▇▇▇▇▇▇▇ in a positive and appropriate manner for their team and never against the opponents. This is evidenced by the absence of booing and vulgarities. Spectators must also show proper acceptance of officials' judgment and the coach’s decisions. Name Birth Date Grade Gender Student’s Current School Parent's (Guardian) Name Address Cell or Home Phone Parent's daytime phone number Parent’s Email If parents cannot be contacted notify Phone Family Doctor Dr. Phone Known Allergies Insurance Carrier If student is not insured, parent assumes all medical responsibilities. Parent/Guardian must also read the Concussion Fact Sheet and sign the Acknowledgement Form (see attached). Student Name Grade Gender _ Has your child ever had a concussion? YES NO If yes, explain the incident(s) and when each occurred. Date: Date: incident: incident: treatment: Date: incident: treatment: Date: incident: treatment: If yes, has your student been cleared by a physician for participation from that concussion? YES NO Has your child had any recent surgeries that the coach should be aware of? YES NO Please explain: Does your child suffer from any chronic illness or disease that the coach should be aware of (diabetes, epilepsy, severe allergies, etc.)? YES NO Please List: Does your child have asthma? YES NO If yes, does your child have an inhaler with them at practices and competitions? YES NO Is your child currently taking any medications? YES NO Please List: Is there any past medical history you would like their coach to be aware of? YES NO Please List/Explain: Please indicate any other medical information you feel may be important for the coach to know. I, (Parent/Guardian), by signing below, hereby acknowledge that the ▇▇▇▇ ▇▇▇ School District has provided me with the necessary and appropriate information on concussions as mandated under subsection 33-1625, Idaho Code. The information included appropriate guidelines that identified the signs and symptoms of concussion and head injury, and described the nature and risk of concussion and head injury with standards of the Centers for Disease Control and Prevention. I acknowledge that in addition to receiving the information in the above paragraph, that I understand the nature of concussion, the signs and symptoms of concussion, and the risks of allowing a student athlete to continue to play after sustaining a concussion. Student Signature Date (mm/dd/yyyy) Parent/Guardian Signature Date (mm/dd/yyyy) If your child has experienced a bump or blow to the head during a game or practice, look for any of the following signs of a concussion: SIGNS OBSERVED BY PARENTS/ SYMPTOMS REPORTED BY ATHLETE: SIGNS OBSERVED BY PARENTS/ GUARDIANS: • Appears dazed or stunned • Headache or “pressure” in head • Is confused about assignment or position • Nausea or vomiting • Forgets an instruction • Balance problems or dizziness • Is unsure of game, score, or opponent • Double or blurry vision • Moves clumsily • Sensitivity to light • Answers questions slowly • Sensitivity to noise • Loses consciousness (even briefly) • Feeling sluggish, hazy, foggy, or groggy • Shows mood, behavior, or personality changes • Concentration or memory problems • Confusion • Just not “felling right” or is “feeling down” Be alert for symptoms that worsen over time. Your child or teen should be seen in an emergency department right away if s/he has: • One pupil (the black part in the middle of the eye) larger than the other • Drowsiness or cannot be awakened • A headache that gets worse and does not go away • Weakness, numbness, or decreased coordination • Repeated vomiting or nausea • Slurred speech • Convulsions or seizures • Difficulty recognizing people or places • Increasing confusion, restlessness, or agitation • Unusual behavior • Loss of consciousness (even a brief loss of consciousness should be taken seriously):