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MSEF Medical Release Form
MSEF Medical Release
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* Indicates required question
Email
*
Your email
*
Your answer
MSEF Program
*
Griz - yes
Option 6
YSL
Jr Freeride
MST
Freeride
*
Your answer
*
Your answer
*
Your answer
396-8237
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Your answer
*
Your answer
*
Your answer
*
Your answer
Contact Lenses
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No
Required
*
Your answer
*
Your answer
*
Your answer
*
Your answer
*
Your answer
*
Your answer
*
Your answer
*
Your answer
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Your answer
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Your answer
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Your answer
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Your answer
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Your answer
Does participant have any physical problems or allergies?
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Yes
No
If yes, please explain in detail:
Your answer
I hereby consent that, in case of emergency during MSEF training, including but not limited to dry-land and on-snow season, participant may receive care without contacting or consulting me first. Parent or Guardian signature.
*
Your answer
A copy of your responses will be emailed to the address you provided.
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