Saydel Health and Injury Information and Consent for Medical Treatment Form
If there are any questions with this form or the process, please contact the Saydel Activities Department at 515-262-9325 x1100

This form is to be completed and kept available for reference wherever competition takes place. Please re-submit as updates to information is necessary. This form will need to be completed annually.

Student Information
First Name *
Your answer
Last Name *
Your answer
Grade 2018-2019 School Year
Date of Birth *
Your answer
Student Phone Number
Your answer
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