By signing below, I certify that I have/the participant has full medical insurance with the company listed above. I understand and agree that this document will be kept in the possession of authorized club personnel and that reasonable care will be used to keep this information confidential. I agree to allow the authorized adult team personnel to release this information in the event of a medical emergency to a third party medical provider. I also certify to the best of my knowledge that I am/the participant named herein is physically fit to engage in the activities described in the program description.
Thank you for completing the emergency medical information.
Please check the primary email used above for the pdf of this completed form. You will need it to complete each participant's registraion for summer programming.