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.)
Generational LEGENDS! https://t.co/ymIUiFRfeP
Thu, Sep 22nd, 2022 3:01am
RT @USAWrestling: .@papsmitty wins Greco-Roman gold as U.S. takes three medals at Slaven, Halfen, Weinberg & Gottfruend Memorial in Israel…
Sun, Aug 28th, 2022 3:51am
Just posted a photo @ Be'er Sheva https://t.co/NTqBYqRCoU
Sun, Aug 28th, 2022 2:56am
Just posted a photo @ United States Olympic Training Center/Colorado Springs,CO https://t.co/1IxZFCna2Y
Sun, Jul 31st, 2022 5:58am
@JurassicParkerB @TimmyHands @lovethefight how about the hill? 😉
Fri, Apr 15th, 2022 9:37pm
RT @NWHOF: On September 3, 1989, @USAWrestling's Michial "Mike" Foy wins a silver medal at the Greco-Roman World Championships
Mike was a…
Fri, Sep 9th, 2022 9:29pm
RT @GopherWrestling: GABLE STEVESON WITH A COMEBACK ON THE CENTURY.
TWO TAKEDOWNS IN 20 SECONDS AND HE IS THE OLYMPIC CHAMPION!!!!!!! htt…
Fri, Aug 12th, 2022 1:15pm
RT @GableSteveson: Wrestling for Gold tomorrow.. Let’s Rock Out! 💪🏽
Fri, Aug 12th, 2022 12:50am
RT @WWEGable: Minneapolis: Home of the Alpha Academy.
Let’s bring it tonight! #SmackDown
Sat, Aug 6th, 2022 12:53am
Let’s go!! 💪💪 https://t.co/LG0h64LoFo
Fri, Aug 5th, 2022 5:55pm
Tue, Jul 5th, 2022 10:54pm
@RandonMiranda Quincey Clark - #MNStorm great! #Stormup
Sun, Jul 3rd, 2022 10:21pm
Happy Birthday Alan! Thank you for everything you’ve done for Minnesota and wrestling as a whole. https://t.co/LbaqsHLbWa
Wed, Jun 8th, 2022 3:41pm
@The_Don285 named to the 2021 @USAWrestling Pan American Championship Team. He will compete for @TeamUSA in Guatema… https://t.co/3lt3eHCTjZ
Tue, May 24th, 2022 3:46am
Very proud of 2021 National Champion Alec Ortiz @House8Graphics https://t.co/1jlm3RTh8n
Tue, May 10th, 2022 2:42am
RT @5PtMove: Start medical school. Then, start Senior Greco-Roman despite not having any prior experience. Next, do so well that no one can…
Mon, Apr 4th, 2022 11:16pm
RT @papsmitty: 2021 Pat Smith #roadtotokyo shirts by @House8Graphics now available for sale! Adult and youth sizes available. Check out our…
Thu, Mar 3rd, 2022 6:55pm
Let’s go @Cgerminaro! He competes today in Hungary and will stay for a 2 week training camp #stormtotokyo https://t.co/9nHlCsBJbo
Sat, Feb 19th, 2022 5:33pm
@Ryan_N_Warner Mike Houck - USA’s first Greco World Champion
Wed, Feb 9th, 2022 10:15pm
RT @GopherWrestling: The only team with TEN ALL-AMERICANS.
In honor of the 20th anniversary of the legendary 2001 NCAA Championship team,…
Mon, Jan 17th, 2022 5:54pm
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