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 email@example.com.
Let us know! (We may send you cool things.)
Happy Birthday Coach Chandler! https://t.co/VepIIMKd3G
Mon, Nov 30th, 2020 12:05am
Hey! Check out what our very own @House8Graphics and @Cgerminaro got to say on the @5PtMove podcast! https://t.co/jWlHUuEsH8
Thu, Nov 19th, 2020 1:50am
RT @GopherWrestling: Mitch McKee wins title🥇; Four more Gophers place at 2020 U23 Junior Nationals
Mon, Nov 16th, 2020 5:52pm
RT @FloWrestling: Announcing the first RTC Cup presented by Titan Mercury Wrestling Club with over $200,000 of payouts on the line. https:/…
Excited to offically welcome Ceron Francisco to the GopherWC https://t.co/vO18pEVjU2
Tue, Nov 3rd, 2020 5:14pm
Heading south 😤 https://t.co/9ybNmolJy9
Sun, Nov 1st, 2020 2:38am
Brett Pfarr with the 10-0 tech fall over 2012 Olympic silver Jaime Espinal #GopherWC
Wed, Oct 21st, 2020 3:10am
Tune in to watch Brett Pfarr and Devin Skatzka in action. Live stream begins at 7:30 ET https://t.co/FTHcP3DAtl
Tue, Oct 20th, 2020 6:17pm
Weekend results from the US Seniors in Coralville, IA #GopherWC #MnStorm
Mon, Oct 12th, 2020 3:48pm
Another Minnesota Great! @JimMartinez https://t.co/TRhzpDOsAV
Sun, Oct 4th, 2020 11:28pm
RIP Coach DeMeo. Thank you for everything you did for our sport 🙏 https://t.co/Uh8ZX6Suh7
Fri, Oct 2nd, 2020 11:47pm
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
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