23-24 Parent-Gymnast Contact Info form
If you missed the PAC meeting, please fill out this information, thank you!
Email *
Athlete Name (Last name, First name) *
Grade *
Athlete email *
Parent Name(s) *
Parent 1 cell # *
Parent 2 cell #
Parent 1 email *
Parent 2 email
Date of Birth  *
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Medications *
Allergies *
Relevant Medical Information (e.g., contact lens wearer, family history, epilepsy, heart murmur, asthma, etc.) *
Today's date *
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I recognize that as a result of athletic participation, medical treatment on an emergency basis may be necessary, and further recognize that school personnel may be unable to contact me for my consent for emergency medical care. I do hereby consent in advance, to such emergency care, including hospital care, as may be deemed necessary under the existing circumstances. (Typing your name below indicates consent to this statement.)
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