Speech and Debate Health Info Form
What is the student's name?
Your answer
Does the student have any allergies?
Your answer
Does the student have any medical conditions that may affect them while on a trip or at a tournament?
Please describe the condition and if there are any accommodations that might be necessary.
Your answer
Who should we contact in the case of a medical emergency?
Please provide a name and telephone number.
Your answer
If the student is covered by health insurance, what is the insurance company and policy number?
This information would only be accessed during a medical emergency.
Your answer
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