Volunteer Medical History

Fieldset

  • Emergency Contact Information

  • Medical History

  • I have supplied and released the above information for use by camp nurse (or in her absence, the camp director) to other healthcare professionals (EMS, DR, ER) during an emergency during the All-Star Sports Camp.

    I understand that no one will have access to this information except for the camp director and camp nurse (during an emergency).

 

Verification