Badger Player Medical Form (London Badgers)

Print Badger Player Medical Form
PERSONAL INFORMATION
The following medical information below will only be used in the case of an emergency and in the event that the players guardians are not present. This information will only be available to the Badger Chairperson and head coach of the team that the player is playing for.
  1. RadDatePicker
    RadDatePicker
    Open the calendar popup.
  2. Example: ###-###-####
  3. Example: ###-###-####
PHYSICAL INFORMATION
  1. List all
  2. List all
  3. Please check one
  4. Include Arm Injuries
  5. Braces, Contacts, glasses, etc...
  1. I confirm that the above information is accurate and I understand that there is a risk of injury as with all strenuous physical activities and I accept that risk for my child and release the coaches and the London Badgers from any liability and responsibility for any such injury. I authorize the Coaching Staff to obtain such medical attention, as they deem appropriate for my child in the event of my absence.

Human Validation
Social Networking
Follow Us On
Follow London Badgers on Twitter
- and -
Visit London Badgers on Facebook
- and -
Follow London Badgers on Instagram
Manage Subscriptions
Signup to receive email or text messages for the teams you want to follow.
Printed from londonbadgers.on.ca on Tuesday, October 20, 2020 at 12:42 PM