GIJFC Consent to Release Medical Information

Player Name (*)

Player Team (*)
Select your child's team hereU8 CooperU8 WinnettU9 BowmanU9 WinnettU9 CooperU10 GnattsU10 HangersU11 Winnett - GnattU11 HangersU11 NewtonsU12 GnattU12 NewtonU13 NewtonsU13 HangersU14 GnattU14 HangersU15 GnattsU16 GnattsCOLTSGIRLS U10GIRLS U12GIRLS U14 HoopsGIRLS U14 AnghieGIRLS U15GIRLS YOUTH

Enter medical information here.

Parent/Guardian Mobile:

Parent/Guardian Email (*)

Parent/Guardian Name(*)

Date of Consent (*):

I consent for this information to be given to the trainer of my son/daughter’s team.

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