| Document Date: 2012-08-08 11:02:34
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City Weaverville / / / IndustryTerm low energy / health insurance / insurance policy / sponsored health insurance programs / purchase insurance / / MedicalCondition loss of consciousness / incoordination / apparent head injury / injury/illness / Headaches / Seizures / Amnesia / brain injury / severe brain swelling / accidental bodily injury / Nausea / greater injury / vomiting / impact syndrome / Fatigue / Drowsiness / brain injuries / injury / back injuries / dizziness / illness / Neck pain / Phone______________________________ Medications_____________________________ Allergies / serious injury/illness / injuries / head injury / / Organization Trinity Alps Unified School District / / / Position said physician / aforementioned physician / Unconsciousness Head / athlete / physician / teenage athlete / coach / young athlete / surgeon / student-athlete / concussion Any athlete / / ProvinceOrState California / / Technology x-ray / / URL http /
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TAUSD ATHLETIC PARTICIPATION PACKET-MUST BE COMPLETED PRIOR TO PARTICIPATION/TRYOUT Trinity Alps Unified School District P.O. Box[removed]Victory Lane, Weaverville, CA[removed]http://www.tausd.org/