ILYC Medical Form


IDA LEWIS YACHT CLUB JUNIOR SAILING PROGRAM
MEDICAL HISTORY & RELEASE

**Please complete one form for each participating child in the family.**



Medical Insurance Information: Parent/Guardian’s Insurance Coverage:
Sailor and Parent Code of Conduct

Junior Sailing Explanation of Discipline 

PARENT/ GUARDIAN EMERGENCY TREATMENT AUTHORIZATION
I hereby grant permission to any appropriately qualified health care professional to give any and all medically appropriate emergency care to my son/daughter/ward, including but not limited to anesthesia and surgery. 

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