Indiana State Throws Camp
PARENTAL CONSENT FORM
Track Office, Indiana State University, Terre Haute, IN 47809
I hereby authorize the staff of the Indiana State Throws Camp to act for me according to their best judgment in any emergency requiring medical attention for
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(Camper's Name)
I hereby give my permission to the physician selected by the camp director to undertake appropriate medical steps toward the welfare of my child, as deemed necessary by the situation.
I hereby waive and release the Indiana State Throws Camp Staff, Sycamore Track Camp Staff and Indiana State University, any and all liability for any injuries or illnesses incurred while at camp.
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Parent/Legal Guardian's Signature
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Date
Please Return To (or Bring at Registration):
Mark Rodriguez, Throws Camp
Arena-Track Office • Indiana State University • Terre Haute, Indiana 47809 |
