Emergency Medical Release Form

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EMERGENCY MEDICAL RELEASE FORM
In the event of an accident or illness, and the parent or emergency contact person, (as shown in this application) cannot be reached, I give Elite Fitness and its authorized affiliates permission to consent on my behalf to medical care for my child, ____________________________. With my signature, I acknowledge that I agree to the Medical Release statement as described.

Parent Signature________________________________ Date_________________

Print Parent Name ______________________________

**Return completed Registration Form, Medical Liability Form and Check Payable to: Elite Kids Fitness
Send to: 13578 Jadestone Way, San Diego, CA 92130

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