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Super Hoops waiver

Super Hoops Medical Release Form This medical and insurance information must be completed to allow your son s participation in the basketball camp. Please fill out and bring to camp when you check-in. Campers Name: _____ Home Phone: _____ Parent/Guardian Phone #: _____ Emergency Phone #: _____ Your son will spend 3 days on the campus of Indiana Wesleyan University for the Super Hoops basketball team camp. We are asking you to authorize treatment of minor injuries for medical problems which may be advised or recommended for your by attending the IWU trainers.

Super Hoops Medical Release Form This medical and insurance information must be completed to allow your son’s participation in the basketball camp.

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