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aTHLETE MEDICAL FORM

In order for us to respond swiftly in an event of injury or medical episodes during one of our sessions, we require all athletes to provide emergency contact and brief medical history below. All personal information will be kept confidential and will only be shared with emergency or medical staff attending the scene if and when appropriate.

Emergency Contact

Doe the Athlete suffer from any of the following:

Thank you for submitting. We will keep these records private and on file.

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