MAS Girls 13+ Study Night

MAS Girls 13+ Study Night
Saturday, December 14th

5:00 PM - 7:00 PM

Location: MAS Center

510 E Memorial Rd, Oklahoma City, OK 73114
Attendee Name*

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Parent Name*

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Parent Phone Number*
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Medical Release and Authorization

Please carefully read all the information below.
As Parent and/or Guardian of the named student, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to the Muslim American Society Oklahoma Chapter and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the registered season. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.*

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Signature of Agreement to ALL Terms and Conditions

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Guardian Name*

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Guardian Signature*

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MAS Girls 13+ Study Night

Medical Release and Authorization

Signature of Agreement to ALL Terms and Conditions