Player Information Form

PLAYER INFORMATION

PARENT/GUARDIAN #1

PARENT/GUARDIAN #2

MEDICAL INFORMATION
Medical History

WAIVER INFORMATION
I (We), the undersigned, understand that it is my responsibility to keep the team management advised of any change in the above mentioned information. In the event my child sustains an injury during practice or a game, and myself nor none of the aforementioned individuals can be contacted, I authorize the team management to take my child to the hospital/MD if deemed necessary. I also authorize the physician and nursing staff to undertake examination and treatment of my child and accept the released of the aforementioned information to the appropriate people (coach, physician) as deemed necessary.
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