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This form must be completed prior to participation in athletics at the University of Texas of the Permian Basin.
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How to fill out Intercollegiate Athletics Insurance and Authorization Form

01
Obtain the Intercollegiate Athletics Insurance and Authorization Form from the athletics department or official website.
02
Fill in personal information such as name, address, and contact details at the top of the form.
03
Provide details about your sport, team, and season in the designated sections.
04
Indicate any existing medical conditions or previous injuries that may affect your participation.
05
Complete the authorization section, granting permission for medical treatment in case of injury.
06
Review the form for accuracy and completeness.
07
Sign and date the form at the bottom.

Who needs Intercollegiate Athletics Insurance and Authorization Form?

01
All student-athletes who participate in intercollegiate sports at the institution.
02
Coaches and athletic staff may need it for compliance and insurance purposes.
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The Intercollegiate Athletics Insurance and Authorization Form is a document that provides insurance coverage details for student-athletes participating in intercollegiate sports. It serves to inform students and their families about the insurance options available during their athletic activities.
All student-athletes participating in intercollegiate athletics programs are required to file the Intercollegiate Athletics Insurance and Authorization Form to ensure they have adequate insurance coverage for injuries that may occur during athletic activities.
To fill out the Intercollegiate Athletics Insurance and Authorization Form, student-athletes need to provide personal information, details of their current insurance coverage, and sign to authorize any necessary treatment should an injury occur during participation in sports.
The purpose of the Intercollegiate Athletics Insurance and Authorization Form is to protect student-athletes by ensuring they have the necessary insurance coverage in place while participating in sports and to obtain necessary medical treatment authorization in case of injuries.
The form must include personal identification details, insurance policy information, emergency contact information, and a signed authorization for medical treatment in the event of an injury during intercollegiate athletics activities.
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