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MC JUNIOR RESERVE OFFICERS TRAINING CORPS(MCJROTC)STANDARD RELEASE/MEDICAL EMERGENCY FORM
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Please enter 'Parent Name' and then 'Cadet Name'.
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Parent Name
*
Your answer
Cadet Name
*
Your answer
My son/daughter/ward has been determined to have the following allergies:
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He/she requires medication for the treatment of:
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Below are listed any other medical conditions which my son/daughter/ward is known to have, which would preclude or limit in any way his/her participation in physical exercise and athletic programs.
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Please provide answers to the below information.
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Please confirm you have read this statement.
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Yes
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Parent Typed Signature
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Date
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MM
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DD
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YYYY
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