Medical Emergency Consent Form



I authorize the coaching staff to provide emergency medical treatment of any injury to or illness by my child if qualified medical personnel consider treatment necessary. I further authorize any qualified, licensed physician to render medical treatment which in his or her judgment may be deemed necessary in the care of (child’s name) {participants_name}

By entering my full name, I attest that this constitutes my legal signature on this form.

By entering my full name, I attest that this constitutes my legal signature on this form.