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 @mndailynews: Gopher wrestler Pat Smith will travel to the World Championships for the second time #DailySports
Thu, Jun 20th, 2019 3:26am
RT @lovethefight: MN Storm over Illinois at U14 Greco National Duals. It is becoming repetitive. One more win to get to the finals! #nextge…
Fri, Jun 14th, 2019 7:02pm
RT @GopherWrestling: We're still savoring @papsmitty's Final X performance, how about you?
#WallpaperWednesday | #GopherTough https://t.co…
Congrats to legendary athlete and coach @lovethefight for being inducted as a Distinguished Member into the Nationa… https://t.co/PjOFjZrzaZ
Sat, Jun 1st, 2019 2:17pm
Let's go!! 💪 https://t.co/cuQofqByJC
Thu, May 30th, 2019 4:59pm
"It changed the way I trained" Awesome interview @jasonmbryant @lovethefight https://t.co/Mhi4WXLGVk
Thu, May 30th, 2019 4:58pm
RT @lovethefight: Next Gen getting Pat Smith ready for Final X. This is why MN Storm has had an Olympian every Olympics since 1968. #mnstor…
Tue, May 28th, 2019 2:09pm
RT @GopherWrestling: World Team Trials review:
▪️ 125kg Champ Gable Steveson ➡ Final X:Rutgers
▪️ 70kg UWW Junior Nationals Champ Brayton…
Tue, May 21st, 2019 12:41pm
RT @GopherWrestling: The #Gophers and @MTCStorm seedings for tomorrow’s senior freestyle World Team Trials competition!
5️⃣ Zach Sanders…
Sat, May 18th, 2019 11:32am
RT @MTCStorm: Number 1 💪 https://t.co/r9EeKzuwnY
Sat, May 11th, 2019 6:28pm
Number 1 💪 https://t.co/r9EeKzuwnY
Sat, May 11th, 2019 1:14pm
RT @DustinSchlatter: Match day at the MN RTC! One week until world team trials #StormUp https://t.co/yKQCE7lEMk
Fri, May 10th, 2019 8:29pm
RT @GopherWrestling: Zach Sanders has punched his ticket to the World Team Trials!!
Sanders defeats David Terao 9-6 and sends another #Gop…
Fri, May 3rd, 2019 11:27pm
Tonight’s RTC practice will be canceled due to our annual athletic awards banquet. Please spread the word. We will… https://t.co/4qvPQvXzrL
Mon, Apr 29th, 2019 3:56pm
RT @GopherWrestling: Some #Gophers and @MTCStorm US Open pre-seedings!
3️⃣ Zach Sanders (57kg)
7️⃣ Daniel Deshazer (61kg)
1️⃣1️⃣ Jayson Ne…
Mon, Apr 22nd, 2019 9:28pm
RT @JNess133: The @MNUSAW practice at Augsburg has been cancelled for tonight. I was just informed the room is closed tonight and we will n…
Mon, Apr 22nd, 2019 7:44pm
RT @ThatKidCartel: Excited to represent @NMU_OTS and @MTCStorm at the Senior US Open this week in Las Vegas! Ready to let it fly! #MNStorm…
Mon, Apr 22nd, 2019 5:49pm
RT @USAWrestling: #GrecoMonday: Watch one of the greatest Greco bouts ever,
Dennis Hall vs. @lovethefight at 2004 Olympic Trials
Mon, Apr 1st, 2019 9:53pm
RT @MTCStorm: Minnesota RTC practices start tonight! Monday and Wednesday at 5pm all spring at Bierman Field Athletic building. All wrestle…
Mon, Apr 1st, 2019 8:07pm
Minnesota RTC practices start tonight! Monday and Wednesday at 5pm all spring at Bierman Field Athletic building. A… https://t.co/U8chfYRTFj
Mon, Apr 1st, 2019 7:20pm
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