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MODENA JR. GRIFFINS MEDICAL RELEASE FORM (Please Complete and Return) Player s Name Date of Birth: Father s Name: Mother s Name: Player s Address: Home Phone Number(s): Work Phone Number(s): Cell
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How to fill out Mokena Jr Griffins medical:

01
Gather all necessary information: Before starting to fill out the Mokena Jr Griffins medical form, make sure you have all the required information handy. This may include personal details such as name, address, phone number, as well as medical history and insurance information.
02
Read the instructions carefully: It's essential to thoroughly read the instructions provided with the Mokena Jr Griffins medical form. This will ensure that you understand the purpose of each section and how to accurately complete them.
03
Provide personal information: Start by filling out the personal information section of the form. This may include details like full name, date of birth, address, and contact information. Double-check for any spelling errors or missing information.
04
Medical history: In this section, you will be asked to provide your medical history. This can include any allergies, chronic conditions, previous surgeries, or medications you are currently taking. Be honest and provide as much detail as possible.
05
Insurance information: If applicable, provide your insurance information in the designated section. This may include the name of your insurance provider, policy number, and any other relevant details. Make sure to attach a copy of your insurance card if required.
06
Authorization and consent: Read through the authorization and consent section carefully. By signing this section, you are providing consent for medical treatment and confirming the accuracy of the information provided. Only sign if you agree with the terms and are confident in the accuracy of the information.

Who needs Mokena Jr Griffins medical:

01
Student-athletes: Mokena Jr Griffins medical is typically required for student-athletes who are participating in the Mokena Jr Griffins sports programs. This medical form ensures that the athletes are fit to participate and allows the organization to have critical medical information on hand.
02
Parents/guardians: Parents or legal guardians of the student-athletes are responsible for filling out the Mokena Jr Griffins medical form. They play a crucial role in providing accurate and updated medical information about their child.
03
Coaches and medical staff: The Mokena Jr Griffins medical form is also essential for coaches and medical staff involved in the sports programs. It allows them to have a comprehensive understanding of the athletes' medical history and any potential health concerns that could affect their participation or require specific accommodations.
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Mokena Jr Griffins medical is a form that needs to be filled out for medical purposes, such as insurance coverage or participation in sports.
All players or members of the Mokena Jr Griffins organization are required to file the medical form.
The medical form can be filled out by providing personal and medical information, including any relevant medical history and emergency contact information.
The purpose of the Mokena Jr Griffins medical form is to ensure that all players or members are medically cleared to participate in activities and to provide necessary information in case of emergencies.
The medical form must include personal information, medical history, current medications, allergies, emergency contacts, and any relevant medical conditions.
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