SWSC 2015-2016 Medical Release and Consent to Treat Please submit the form below. * indicates required field Date:* Parent/Guardian's Name:* Child's Name* Age:* Grade:* Address:* City, State, Zip Code:* Contact Number:* Skill Level* I, Beginner II, Intermediate III, Expert Email:* By clicking the check box in the “I Accept” box below, I certify that I am the Participant or that I am the parent or legal guardian of the participant and that I hereby authorize Sunlight Winter Sports Club to enlist qualified medical professionals to provide all emergency medical and/or surgical treatment that may be required for our child/children during our absence or for myself if I am the participant from November until April.* I Accept Preferred Physician:* Physician's Number:* Emergency Contact:* Relationship:* Contact's Phone Number:* Allergies:* CAPTCHA Code:*
