• Shoreline Sports Medical Release

    June 1, 2013 to December 31, 2014
  • Participant's Information

  • Parent/Guardian Information

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  • Emergency Information

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  • Medical Information

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  • Informed Consent and Acknowledgement

    I hereby give my consent for the Shoreline Sports Administrator to use any emergency care as decided by the Camp or Program Director.  I assume full financial and medical responsibility should any accident occur during the camps.  I also give my consent and authorize the Camp or Program Director and/or coaches to obtain, through a physician of their choice, such medical care is reasonably necessary for my welfare if the above listed participant is injured during the Shoreline Sports program. By signing below, I am waiving my rights to begin any legal action should the above listed participant listed above become injured during any Shoreline Sports programs.

  • Confirmation

    BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

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