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2024 Player Medical Info Sheet

Person to contact in case of accident or emergency, if parents are not available:

Please check the appropriate response below pertaining to your child:

Previous history of concussions
Fainting episodes during exercise
Epileptic
Wears glasses
If so, are lenses shatterproof?
Wears contact lenses
Wears dental appliance
Hearing problem
Asthma
Trouble breathing during exercise
Heart condition
Diabetic
Has had an illness lasting more than a week in the past year
Medication
Allergies
Wears a medical alert bracelet or necklace
Does your child have any health problem that would interfere with participation on a football team?
Surgery in the last year
Has been in the hospital in the last year
Has had injuries requiring medical attention in the past year
Presently injured

*Any medical condition or injury problem should be checked by   your physician before participating in a football program.

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I understand that it is my responsibility to keep the  team management advised of any change in the above information as soon as possible and that in the event no one can be contacted, team management will take my child to hospital/M.D. if deemed necessary.

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MEDICAL RELEASE:

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In the event that my child                                                         is injured, ill or in need of medical attention and I am unable to be contacted, I authorize GameReady Elite, or agents to seek  medical attention and/or admit my child to hospital.

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I hereby  authorize the physician and nursing staff to undertake examination investigation and necessary treatment of my child.

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I also authorize release of information to appropriate people (coach,  physician) as deemed necessary.

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RELEASE:

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In consideration of me and/or my child participation in this program, I recognize that there are inherent risks associated. I hereby agreed to release GameReady Elite from all claims, liabilities, obligations and costs which I may have against GameReady Elite, and their respective agents, servants and representatives, arising out of injury, loss or damage while I or my child participate in the program, whether or not arising from any negligence on the part of GameReady Elite, or their respective agents, servants and representatives.

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*ALL of the above information will be kept confidential and will not be shared with outside sources.*

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