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Medical Release Form 2010 This form is required for all minors participating in Cross Pointe ministries that are off-campus and is valid for the calendar year 2010. Participant s Name Parent s Name Home Phone Parent s Work Phone Family Physician Insurance Company Policy Number Name of Person other than Parent or Guardian authorized to act for parent in an emergency Name Work Phone Home Phone Allergies including drugs Please list any medications to be taken by participant and frequency Special...
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