Medical Release

Basketball Medical Release

I/We hereby state that our daughter/son is covered by the insurance company stated on this form.  I/We also hereby release Church League Basketball for Youth, all coaches, and participating churches for any responsibility in the case of an accident that might occur to my/our daughter/son while participating in any League activities.  I/We understand that in the event of an accident that would require emergency treatment; that every effort will be made to reach me/us.  If I/we cannot be reached, I/we give permission to the responsible coaches and or CLBBY personnel to secure medical attention for my/our daughter/son.

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