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Guilder land United SC and FC Dutchmen Emergency Medical Release & Liability Waiver Participants Name Birth date Team Street Address City Zip EMERGENCY INFORMATION: Father's Name Home Phone () Bus/Cell

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How to fill out new medical release and

01

Read the form carefully to understand the information required.

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Start by filling in your personal information like name, address, and contact details.

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Provide information about your medical history, including any existing conditions or allergies.

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Fill in the name and contact information of your primary healthcare provider.

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Include details about your emergency contacts and their relationship to you.

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Submit the form to the relevant authority or healthcare provider.

Who needs new medical release and?

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Anyone undergoing medical treatment or procedures

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