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.)
Vote for us! https://t.co/bFtxdtOiMM
Thu, Aug 9th, 2018 7:01pm
@CodyOcho5 Tough one, can we do both?? @GopherWrestling thoughts?
Wed, Jul 25th, 2018 3:04pm
@mpetkovc Happy Birrhday Coach Momir!
Sun, Jul 22nd, 2018 4:26pm
Freestyle National Team camp at the OTC. This is the first of many, in preparation for the Junior, U23, and Senior… https://t.co/E2uyGzbPqO
Fri, Jul 20th, 2018 11:06pm
Fri, Jul 20th, 2018 10:58pm
Congrats @paxtoncreese and @CaelCarlson and the rest of the @MNUSAW All Americans! FargoChamps #Stormup #TheFuture https://t.co/dPriPDqlXm
Fri, Jul 20th, 2018 10:56pm
Did you read about @HaydenZillmer's Fargo career yet?! He wants to know want you're waiting for... #Fargo2018… https://t.co/nImpmOtEpl
Thu, Jul 19th, 2018 6:15pm
In honor of Fargo Week we're highlighting the impressive resumes of our senior level athletes way back when… https://t.co/E5N9AYsC6I
Tue, Jul 17th, 2018 3:35pm
RT @TakedownWrestle: Our next guest on #TakedownRadio is Freestyle/ Greco Roman wreslter and part time comedian Joe Rau.
Listen -> https:…
Sun, May 27th, 2018 5:01am
Greco guys spent the week with #MNStorm Legend @Biseks_Stache. Thanks @NMU_OTS for the great training #StormUp https://t.co/AXD8VpLFbS
Sat, May 26th, 2018 2:30am
RT @GopherWrestling: Awesome seeing our guys out here supporting all the Minnesota wrestlers wrestling for @MTCStorm today! https://t.co/uw…
Sat, May 19th, 2018 8:18pm
RT @GopherWrestling: A huge congratulations for our now former assistant coach @DustinSchlatter as he moves on to a role with @MTCStorm as…
Thu, May 10th, 2018 12:09am
RT @Dness10: 11 days away from World Team Trials in Rochester, MN. Hope to see lots of Gopher and Storm wrestling fans in the stands!
Tue, May 8th, 2018 7:31pm
RT @GopherWrestling: In honor of the #PanAm2018 games starting, we throwback to when current Assistant Coach Dustin Schlatter won his won P…
Thu, May 3rd, 2018 5:31pm
Nice job Canada Joe! https://t.co/qdGtuyKnFm
Thu, May 3rd, 2018 4:03pm
RT @Dness10: Thank you ALL @MTCStorm & Gopher Wrestling Club donors & sponsors 4 making this all possibly 4 us! We all appreciate it greatl…
Mon, Apr 30th, 2018 11:58pm
RT @GopherWrestling: ICYMI: There are seven Minnesota wrestlers who are ranked inside the top-10 by https://t.co/etvwdFiM9n! #GopherTough @…
Sat, Apr 21st, 2018 8:40pm
RT @GopherWrestling: .@Dness10 is a force to be reckoned with in freestyle. He comes in at No. 8 at 70kg! #GopherTough https://t.co/gkifBuB…
Fri, Apr 20th, 2018 7:22pm
RT @GopherWrestling: He’s 17.... @GSteveson comes in at No. 6 in the U.S. Senior Freestyle Rankings. #GopherTough https://t.co/XOgRhoWZa7
Fri, Apr 20th, 2018 7:05pm
RT @GopherWrestling: He is one of the best heavyweights to ever come through Minnesota. Tony Nelson comes in at No. 3 at 125kg! #GopherToug…
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