PERMISSION FOR MEDICAL TREATMENT, RELEASE OF MEDICAL INFORMATION AND PAYMENT OF MEDICAL EXPENSE I REQUEST AND GIVE PERMISSION to the physicians and medical staffs to treat the above-named participant appropriately, including hospitalization, prescribing medication, and performing emergency medical procedures. I AUTHORIZE release of any medical information to a doctor which may be pertinent to any diagnosis or treatment of the above-named participant. I UNDERSTAND that any charges resulting from this medical treatment will be billed to me at my address or to my medical insurance carrier which is:
Name and Phone Number of Individual(s) to Contact in Case of Emergency Waiver: My son/daughter has been examined by a physician in the last year and is in good health. I hereby authorize Minnesota Storm coaches to act for me, according to its best judgment in any medical emergency, and I hereby waive and release said camp from any liability for injuries or illness incurred by my son/daughter while attending camp.
NOTE!!! The Minnesota Training Center/Minnesota Storm does NOT carry group medical coverage for this program.
Please make checks payable to: Minnesota Training Center
Send application and deposit to:
Minnesota Training Center
2211 Riverside Ave
Campus box 313
Minneapolis, MN 55454
For additional information contact Brian Graham (816) 392-4954, Mike Tschida (763) 496-7706 or email us directly at firstname.lastname@example.org.
Let us know! (We may send you cool things.)
RT @NWHOF: On this date in 2000, @USAWrestling's @mattlindland wins silver and @GarrettLowney wins bronze in Greco-Roman at Olympics.
Sat, Sep 26th, 2020 8:12pm
RT @USAWrestling: Check out today's Moments Off the Mat with Brandon Paulson (@lovethefight) and Gary Mayabb!
Mon, Sep 14th, 2020 9:54pm
RT @NWHOF: On this date in 2015, @USAWrestling’s @Biseks_Stache wins bronze at Greco-Roman World Championships.
It was the second consecut…
Tue, Sep 8th, 2020 4:39pm
Welcome to the club Gopher All-American Devin Skatzka https://t.co/FRhyL59VBt
Tue, Sep 1st, 2020 6:25pm
RT @lovethefight: Dan Chandler has been the coach of over 30% of USA Olympic Greco Medalists. #goat #gogreco
Tue, Aug 25th, 2020 7:56pm
Dan Chandler. Legend 💪 https://t.co/dELP1Wylx8
Tue, Aug 25th, 2020 7:55pm
We are excited to announce the addition of All-American, U23 world team member and Jr world silver medalist Mitch M… https://t.co/ezDUDWStma
Tue, Aug 25th, 2020 5:56pm
USA's First Greco World Champion, Second National Team Coach, and Minnesota Storm Wrestling's finest- Mike Houck https://t.co/PmNZo2w67K
Wed, Aug 12th, 2020 4:06am
The ORIGINAL Kid Dynamite! https://t.co/gq1QyClkV9
Wed, Aug 12th, 2020 3:59am
One of Minnesota's toughest! https://t.co/CDqx9iJ6gb
Wed, Aug 5th, 2020 7:19pm
Who can name all of the Minnesota Medalists on this list? https://t.co/lWzNc1mlBg
Tue, Aug 4th, 2020 10:53am
RT @jasonmbryant: Paulson has also been a member of the Minnesota/USA Wrestling coaching staff for the Junior and Cadet Nationals, helping…
Thu, Jul 23rd, 2020 3:19am
RT @USAWrestling: Why fans should be excited about 77 kg at the Olympic Team Trials
📝: https://t.co/7WWzz5Extn https://t.co/zBHO0ah9Tp
Tue, Jul 21st, 2020 9:54pm
Rumble on the Rooftop https://t.co/C79LaZgyc0
Thu, Jul 2nd, 2020 5:38pm
RT @CodyOcho5: I would be remiss to not give @DustinSchlatter ‘s mustache its very own shoutout! Top notch 👨🏻🦰
Tue, Jun 30th, 2020 1:21am
Great competitor, better guy. Thanks for the fun @NKulchytskyy! https://t.co/SLtvQ1EsQR
Tue, Jun 30th, 2020 1:19am
RT @DustinSchlatter: Ya she’ll do
Sun, Jun 28th, 2020 2:53pm
2 days ✌🏻 https://t.co/TPwQS01Esc
Sat, Jun 27th, 2020 12:30am
Sanders. McKee. Ness. Kulchytskyy. Pfarr.
We are wrestling again.
Sunday, June 28. Live PPV.
Click the link be… https://t.co/xuLkZqEKLW
Thu, Jun 18th, 2020 9:13pm
LEGEND! @lovethefight https://t.co/O8kex5EC1a
Wed, Jun 17th, 2020 2:58pm
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