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Forms

Medical Release Form

PLEASE COMPLETE THE FOLLOWING FORMS

✓ Online Registration

✓ Medical Release Form (YOU ARE HERE)

✓ Acknowledgment of Risk & Hold Harmless Agreement

✓ NCHC Definition of a HomeSchool Student-Athlete

✓ Payment of Fees Form

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Note:  Up to 3 athletes can be listed on a single form 

Wichita Defenders Medical Release Form

I certify that my child, named above, is physically capable and able to fulfill requirements needed to participate in the Wichita Defenders Sports Program.  By signing this form, I release all obligations for the  medical treatment of my son/daughter in the event of illness or injury during any sport rlated activity when either parent cannot be reached.  If there is any physical or medical reason why he/she should not participate fully, The Defenders requires a doctor's release.

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FURTHERMORE, THE WICHITA DEFENDERS HOMESCHOOL SPORTS ASSOCIATION IS NOT LIABLE FOR ANY INJURY INCURRED DURING THE SPORT SEASON.

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Medical Treatment Release:

In the event of an emergency occurring involving my son/daughter while at a Defender's sponsored activity, I grant permission to the coaches and/or Athletic Director to take whatever action necessary to ensure my son/daughter receives medical attention.

Person(s) to be notified, other than parent or guardian, in case of emergency:

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