DJHS Cheer Emergency Contact Information
Due to the early start of cheer, we do not have a reliable list of contact information on July 25. To be sure we are being proactive and have the necessary information in case of emergency, we are asking you to complete this short form so that all coaches have access to the emergency contact information for your child.
Athlete First Name
Your answer
Athlete Last Name
Your answer
Athlete's Grade
Mother's Name
Your answer
Mother's emergency contact phone number
Your answer
Father's Name
Your answer
Father's emergency contact phone number
Your answer
Please list allergies, medical conditions, etc.
Your answer
What medications is this athlete currently taking
Your answer
Please list any information about health/well-being that you believe the staff needs to know about this athlete.
Your answer
Submit
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