OFF-SEASON HEALTH & EMERGENCY CONTACT INFORMATIONParticipant's Name* First Last Date of Birth* MM slash DD slash YYYY Parent/Guardian Name* First Last Parent/Guardian Email* Parent/Guardian Home PhoneParent/Guardian Cell PhoneEmergency Contact Name* First Last Relationship to Participant Emergency Contact Home PhoneEmergency Contact Cell PhoneDoes the participant have any allergies?* Yes No List Allergies*Does the participant have asthma or a similar respiratory condition?* Yes No Do they carry an inhaler?* Yes No Does the participant have any special learning needs, social disorders or other mental health considerations we can make accommodations for in our programming?Please specify any other health concernsDoes the participant have any special requests?
