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.)
In honor of the first day of the NCAA tournament, we're throwing it back to one of the most legendary moments in NC… https://t.co/HiUhlGpd3X
Thu, Mar 21st, 2019 2:53pm
RT @USAWrestling: .@OlympicKidd wins bronze medal, @papsmitty and Nick Tarpley place fifth at #ThorMasters2019 in Denmark
Sat, Mar 16th, 2019 10:44pm
RT @DapGold133: SUNDAY SUNDAY SUNDAY!!!
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Come on out and Learn some New tricks from @mtcstorm members!…
Fri, Mar 15th, 2019 8:19pm
RT @DustinSchlatter: Warm welcome to the worlds coldest city #Yakutsk #WorldCup #TeamUSA https://t.co/kMcQk1EYCz
Fri, Mar 15th, 2019 12:37am
3 of the Storm’s own freestylers are headed to Yakutsk, Russia to represent #TeamUSA in the World Cup! Good luck to… https://t.co/J2OfJS4eQO
Tue, Mar 12th, 2019 2:08pm
RT @GopherWrestling: Big thanks to @USAWrestling for training here in Minnesota! Awesome to see former #Gophers coach Joe Russell back in h…
Fri, Mar 8th, 2019 4:31pm
Introducing our new segment, #StormSpotlight! Where we shine the light on past and present members of The Minnesota… https://t.co/jpisBcenwk
Wed, Mar 6th, 2019 10:54pm
Nice article about 97 kg Greco Athlete and @umnmedschool student @EricTwohey1! https://t.co/nnZdEhJHC6
Sat, Mar 2nd, 2019 7:19pm
RT @DustinSchlatter: Minnesota Native Brett Pfarr Takes Bronze in Cuba https://t.co/3b08ucHZka
Thu, Feb 28th, 2019 7:25pm
RT @DustinSchlatter: Update from Cuba: Jayson Ness and Brett Pfarr will go for bronze tomorrow. After receiving a forfeit from Mexico, Ness…
Fri, Feb 22nd, 2019 1:21am
Great showing for #MNStorm Freestyle and Greco at the Dave Schultz Memorial International. 4 Medals overall!
Sat, Jan 26th, 2019 10:40pm
The final session of the Dave Schultz memorial is underway. Tune in to watch Brett Pfarr take on Joe Rau for the 86kg bronze!
Sat, Jan 26th, 2019 9:00pm
RT @GopherWrestling: Two #Gophers greats, Dylan Ness and Brett Pfarr, are headed to Colorado Springs for the Dave Schultz Memorial Internat…
Thu, Jan 24th, 2019 10:49am
Alec Ortiz featured in @5PtMove podcast! @House8Graphics https://t.co/gbKAYfPspP
Sun, Jan 20th, 2019 9:42pm
RT @GopherWrestling: Could there be a better training partner for @GSteveson than @DCBROCKLESNAR ❓ #GopherTough #GopherFamily https://t.co/…
Wed, Jan 16th, 2019 7:55pm
RT @DustinSchlatter: Sharpening the skills at national team camp in Colorado #MinnesotaRTC #MnStorm #USAwrestling #Gophertough https://t.co…
Fri, Jan 11th, 2019 9:16pm
Headed into 2019 like... #bringiton #yearofthestorm #happynewyear 📷: @MNUSAW https://t.co/SBOYWRDWWF
Tue, Jan 1st, 2019 6:54pm
Merry Christmas! https://t.co/9pmtiFC92D
Tue, Dec 31st, 2019 5:55pm
When it's a winter wonderland ❄️ but wrestling is life... Happy Winter Solstice @wrestling! #MNStorm… https://t.co/2pT1IVUjCR
Fri, Dec 27th, 2019 5:04pm
Big thanks to @aikbrottning for the week of Greco training last week in Stockholm. Great to have friends and train… https://t.co/SBsDlWBttC
Thu, Dec 26th, 2019 3:31pm
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