Mustangs Track Club
CONSENT FORM
Athlete/s Name *
Your answer
Parent/Legal Guardian Name *
Your answer
MEDICAL
As the parent or legal guardian of a participant in the club and its program, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Dentistry.This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of my dependent.
Please select yes or no *
PHOTOGRAPHY
Occasionally, we may take photographs of the children at our club. We may use these
images in printed publications that we produce, as well as on our website.
From time to time, our club may be visited by the media who will take photographs or film
footage of a high profile event. Children will often appear in these images, which may appear in local or national newspapers, or on televised news programs.
Please select yes or no *
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