Example: ###-###-####
*before a player participates in a hockey program, any medical condition or injury should be checked by that individual's family physician.
Please chose the appropriate response and provide details below if you answer "yes" to any of the questions.
I understand that it is my responsibility to keep the team Hockey Trainer advised of any change in the above information as soon as possible. In the even of a medical emergency and that no one can be contacted, team management will arrange to take my child to the hospital or a physician if deemed necessary. I authorize release of information to appropriate people (coach, physician) as deemed necessary.