BLUE CARD HEAD/CONCUSSION INJURY DATA FOR SARIISPP
I hereby provide informed consent that the captured Blue Card head/concussion injury information,
may be used by SA Rugby and their nominated research partners for injury record and research
By continuing with the process of logging or documenting this event, I provide informed consent to
SA Rugby and their nominated research partners, to access all relevant information pertaining to the
rugby-related Blue Card head/concussion injury.
I furthermore agree to release to SA Rugby, all Blue Card head/concussion injury data sustained
during any SA Rugby associated leagues or tournaments, which may include, but are not limited to
Currie Cup, and any other amateur community rugby matches and training associated with SA Rugby,
the local Provincial Rugby Union, Club or School affiliated rugby activities.
The Blue Card head/concussion injury data, as stipulated above, may or may not be used for research
purposes. This information will be stored at SA Rugby’s offices for official records of these rugby-
The Blue Card head/concussion injury data may be used for research and publication purposes to
help improve the safety standards of the game of rugby played in South Africa, and can be used to
potentially prevent other similar injuries from occurring in the future.
I further understand and acknowledge that all analysed, researched or published information, will be
depersonalized, will remain anonymous, and will be treated and handled with the utmost