Transcription of CONSENT FOR TREATMENT Each Player must ... - …
1 CONSENT FOR TREATMENT Each Player must complete and have signedName of Player_____ Player s Age_____ Home Address_____ City_____ State_____ Family Physician_____ Phone_____List of Any Allergies_____Required Medication_____ Name of League_____ League Accident Insurance Company_____ League Accident Insurance Policy In case of an accident or illness, I hereby authorize a representative of Babe Ruth League, Inc. to use his/her judgment in obtaining immediate Medical Care. DATE_____SIGNED_____ Daytime Phone _____ Home Phone _____ Cell Phone _____ Parents Health Ins. #_____(Parents will be notified in case of serious illness or injury as quickly as they can be reached, but this will make immediate TREATMENT possible.)
2 By: Parent or Guardian if Athlete is under the age of 18 By: Athlete if 18 or over
