Athletic Release Form
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First name:_____ last name:_____ age:_____ teacher’s name:_____ grade:_____ gender:_____. Web agreement to assume risks of athletic participation i hereby grant permission to northwestern medical center’s athletic trainer, physical therapist or medical provider,. Web admissions policies, loan and scholarship programs, and athletic and other administered programs. I, _____am at least 18 years old and have submitted the attached application for participation.
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The undersigned does hereby grant. Web this form provided courtesy of k&k insurance group. This signed waiver/release should be kept on file by the sports organization for at least 7 years or possibly longer if the player. Web activity providers, such as businesses, sports teams, and organizations, will typically ask participants to sign a waiver before an activity to protect.
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First Name:_____ Last Name:_____ Age:_____ Teacher’s Name:_____ Grade:_____ Gender:_____.
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Web activity providers, such as businesses, sports teams, and organizations, will typically ask participants to sign a waiver before an activity to protect themselves from. Has been examined by me on (name of student) (date) and my examination has found no medical reason to preclude. I, _____am at least 18 years old and have submitted the attached application for participation in champion. Web this form provided courtesy of k&k insurance group.
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