- Please use a black pen with dark ink to fill out all forms. We need to copy and scan them and other inks do not work as well.
- Include the athletes name on all pages (in case they get separated from each other).
- Athletes MUST have a fully completed and up to date form on file before beginning practice with the Duluth All Stars. NO EXCEPTIONS! If your form becomes out of date, even in the middle of a sport, you must have an up to date one on file before you can continue with practices.
- Please follow the attached checklist for how to fill out the form properly so your athlete can participate in their sport.
1. Section A - Demographics - Athlete's full name, mailing address, telephone number and email (if an athlete doesn't have their own email, please provide a staff or family member's as we do not do mailing for newsletters and information anymore. All of our information is either emailed or available on our blogspot and soon to be website); Parent/Guardian or Emergency contact information (name and phone number); Health/Accident Insurance Company (name and policy number)
2. Section B - Health - Make sure that all boxes are either checked with a yes or a no; Tetnus immunization date; Current medications filled out (if applicable - also please let Lynn know if medications change even if the form is up to date); Guardian's signature and date (if athlete is their own guardian they must sign here);
3. Sections C, D and E - Must be completed by a physician and be signed and dated by said physician.
4. Consent form - Athlete's name and birth date; Section A if first box is checked - must have a witness signature; Section B must be completed by guardian if second box is checked in Section A and must be signed and dated.
5. Healthy Athlete - Athlete's name and birth date; if athlete is over 18, their signature is needed or if under 18, guardian's signature is needed; date of form completion.
- Return all forms to Lynn Landstrom, 5402 Onedia Street, Duluth MN 55804 (218-343-5598)
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