Concussion in Your Sport What to do. Concussion is one of the most critical health issues facing sport today. This seminar will provide community sport volunteers and support staff with the knowledge and skills to help manage concussion injuries within your sport. Topics will include: • Best practice guidelines – Amanda Weiner Physiotherapist • Management of Children with concussion – Nicole Robb – Physiotherapist • What does this mean to your local club/sport? Take home resources and information will be available including posters and policy guidelines to all registered attendees. Date: Wednesday 27th May Time: 6.30pm - 8.30pm Venue: FJ Clarke Lecture Theatre - Sir Charles Gairdner Hospital NEDLANDS COST: $35.00 SMA Members $45.00 Non Members Register online! wa.sma.org.au To confirm your registration, full payment MUST be received Concussion Management Registration Form Contact Details First Name: Surname: Address: City: State: Ph: Postcode: Mobile: Email: What is your occupation? Sports invoved with: I agree to the terms and conditions of enrolment as set out in SMA’s policies and procedures (sma.org. au). I declare the information I have provided on this form is true and correct. Participants Signature/Initial: Tick which course you would like to enrol in: Wednesday 27th May How did you find out about this course? School / University Club / Organisation Friend / Colleague SMA Email SMA Website Facebook/Twitter Other Payment Details Amount $: Cash Cheque Visa Mastercard Card Number: Expiry Date Name on Card: CVV: Office use only Amount $: Student Edge: Return with payment to: Sports Medicine Australia (WA Branch) PO Box 57 Claremont WA 6910 Receipt No. GS ID/ PW: Date: Course Code: Terms & Conditions: Full payment must be recieved by SMA prior to course commencement. Registrations close 10 days prior to course commencement. Course must have a minimum of 15 participants. Cancellations will incure a $20 administration fee. Student Edge Card must be presented to recieve 10% discount.