CheerFactor Medical Release Form 2025

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  1. Click ‘Get Form’ to open the CheerFactor Medical Release Form in the editor.
  2. Begin by entering the participant's name and date of birth in the designated fields at the top of the form.
  3. Fill in the address details, including street, town, state, and zip code. Ensure accuracy for emergency contact purposes.
  4. Provide a primary phone number and an optional cell number for quick communication.
  5. Enter the parent or guardian's name along with an emergency contact number to ensure safety during participation.
  6. Include email addresses for both parent/guardian and student to facilitate communication regarding any updates or emergencies.
  7. In the medical information section, list your physician's name and phone number, as well as insurance details including carrier and policy number.
  8. Document any known medical conditions, allergies, or dietary restrictions to inform staff of specific needs.
  9. Review the waiver statement carefully before signing. This confirms your understanding of risks associated with participation.
  10. Finally, sign and date the form at the bottom to complete it. Make sure all information is accurate before submission.

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