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Snapshot of the Word file:"MEDICAL RELEASE FORM_MEDICAL/DENTAL RELEASE FORMPlayer Name:Parents Name:Birth Date:Address:Phones:Al".doc MEDICAL/DENTAL RELEASE FORM Player Name: Parents Name: Birth Date: Address: Phones: Allergic to any Medications? Emergency Notifications: Name/Phone: Name/Phone: Name/Phone: Name/Phone: Doctor Doctor’s Name:Phone: Doctor’s Address: Dentist Dentist’s Name:Phone: Dentist’s Address: Insurance Insurance Carrier: Insured Person: Policy Number: CONSENT FOR TREATMENTIn case of an emergency, I, , parent or legal guardian of , give my permission to a representative of the Cy-Fair Sports Association to take for medical and/or dental treatment if deemed necessary. By:Date: ...For more information, Please download the word document. Word file "MEDICAL/DENTAL RELEASE FORMPlayer Name:Parents Name:Birth Date:Address:Phones:Al" Free Download Address Click here to download the word document:MEDICAL RELEASE FORM.doc Note |