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Medical Release

Parent or Legal Guardian Authorization:

In case of emergency, if family physician cannot be reached, I hereby authorize my child to be treated by Certified Emergency Personnel (i.e. EMT, First Responder, ER Physician)

If Parent/legal guardian cannot be reached in case of emergency, contact:
Please list any allergies/medical problems, including those requiring maintenance medication (asthma, diabetes, seizure disorder, etc.)
The purpose of the above listed information is to ensure medical personnel have details of any medical problem which may interfere with or alter treatment.

Thanks for submitting!

WARNING: Protective equipment can prevent all injuries a player might receive while participating baseball/sofball.
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