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CPFH College Tour 2022
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* Indicates required question
Player Name
*
Your answer
Player Grad Year
*
Choose
2023
2024
2025
2026
2027
2028
Player Best Contact Phone Number for During Trip
*
Your answer
Player Best Email Contact for During Trip
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Your answer
Emergency Contact #1 Name
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Your answer
Emergency Contact #1 Phone
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Your answer
Emergency Contact #1 Email
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Your answer
Emergency Contact #2 Name
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Your answer
Emergency Contact #2 Phone
*
Your answer
Emergency Contact #2 Email
*
Your answer
Medical Insurance Provider
*
Your answer
Insurance Policy #
*
Your answer
Insurance Group #
Your answer
Insurance Primary Person on your Account
*
Your answer
All clinics will have athletic trainers on site provided by each college/university. In the event that an athlete needs to seek further medical treatment, CPFH chaperones will do our best to reach both the primary and second emergency contact people. Please enter your name to give CPFH chaperones consent to have your athlete treated by a medical professional if it is deemed necessary by bus tour chaperones and/or clinic staff.
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Your answer
Athlete Bday
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MM
/
DD
/
YYYY
Please list any allergies
Your answer
Please list any medical concerns that the chaperones should be aware of
Your answer
Please list any medication that athlete will need to take while on the bus tour. *Medication must be labeled with athlete's name, medication list and dosage and turned into Bus Tour Director, Belinda Heltzel, at van check in.
Your answer
Athlete agrees to the CPFH season Code of Conduct and CPFH Travel Code of Conduct. All athletes must represent themselves and CPFH in a respectful manner and follow all travel guidelines. Absolutely no drugs, alcohol or weapons of any kind are permitted. Athletes agree to communicate with chaperones as needed and agree to stay together with assigned groups at all stops. Athletes agree to follow the hotel policies and lights out schedules for all night stays. Athletes agree to report on time each morning and will respect and follow the bus tour schedule. Please type athlete's name and guardian's name to show acceptance of the bus tour policies.
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