AMGA Health Statement

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    EMERGENCY CONTACT INFORMATION

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    Medical History - Please check all that apply

    AMGA programs are physically and mentally demanding. Weather conditions can be extreme. Days will be long and you may be expected to climb and/or ski with heavy loads. Programs are multi-day and often operate in remote locations where advanced medical care and evacuation may not be available for hours or days. All participants must be free of medical or physical conditions which could create undue risk to themselves or to others who depend on them. If there is any doubt about your ability to fully participate in this activity, you should have a physical examination by a physician. We may also require a physician's consent as a precondition for participation.
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    To the best of my knowledge, the above information is a complete and accurate representation of my pertinent medical history. I declare that I am in good physical health and believe that I am able without reservation or limiting conditions to physically withstand and cope with the indicated rigors of this program. In the event of an emergency, permission is given for any evacuation, medical intervention and care that may become necessary for my immediate well being.
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