Student Medical Release Form

Student Medical Release Form

Ensure that every members of the band or students have provided their medical information like parents and contact information to be contacted in case of emergency. Form Preview
  • Medical Release Form

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  • I hereby give my consent, in the event that all reasonable attempts to contact me have been unsuccessful, for immediate medical treatment as required in the judgement of the attending physician while

  • is absent from home for a school event.

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    Pick a Date
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  • The following information is needed by any hospital or practitioner not having access to a medical history.

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    Pick a Date
  • If Parent/Guardian cannot be reached in case of emergency call:

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    Pick a Date
  • Should be Empty: