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Get Little League Medical Release Form

Official Pony Baseball and Softball Medical Release Form Parent /Guardian Medical Liability Consent This is to certify that as the parent or guardian of please insert the child s name Player name DOB Address Hereby grant permission to the adult manager coach trainer or business manager of the team to obtain medical care at my expense from any licensed physician hospital or medical clinic for the player named herein at such times as either parent of legal guardian cannot be contacted in person or by telephone. This authorization shall include all activities including the period required to travel to and from Interior baseball organization and Pony Baseball Inc. the organizers supervisors participants and persons transporting the player to and from those activities for any and all claim arising out of an injury to the player. Signed Date In case of an emergency contact Name Phone A medical release form signed by the player s parent or legal guardian MUST be provided in advance of any participation for each player on the team in order that physicians and hospitals will accept players for treatment in the event of illness or injury where that parent s or legal guardian are not available. This authorization shall include all activities including the period required to travel to and from Interior baseball organization and Pony Baseball Inc* the organizers supervisors participants and persons transporting the player to and from those activities for any and all claim arising out of an injury to the player. Signed Date In case of an emergency contact Name Phone A medical release form signed by the player s parent or legal guardian MUST be provided in advance of any participation for each player on the team in order that physicians and hospitals will accept players for treatment in the event of illness or injury where that parent s or legal guardian are not available.

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Keywords relevant to Little League Medical Release Form

  • certify
  • participants
  • physicians
  • transporting
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