ABOUT US
About Us
MRC 101
Coaches
Team Policies
Code of Conduct
Location
Practice Schedule
Fees
Alumni in College
News & Updates
MRC in the Press
LEARN TO ROW
LTR Information
LTR Registration
FAQ's
CURRENT ATHLETES
2025 Summer Programs
Spring 2025 Season (High School)
Spring 2025 Season (Middle School)
Calendar
More Information
SUPPORT MRC
Donate
Volunteer
JOIN OUR MAILING LIST
ABOUT US
About Us
MRC 101
Coaches
Team Policies
Code of Conduct
Location
Practice Schedule
Fees
Alumni in College
News & Updates
MRC in the Press
LEARN TO ROW
LTR Information
LTR Registration
FAQ's
CURRENT ATHLETES
2025 Summer Programs
Spring 2025 Season (High School)
Spring 2025 Season (Middle School)
Calendar
More Information
SUPPORT MRC
Donate
Volunteer
JOIN OUR MAILING LIST
Menu
Medical Authorization Form
Athlete Name
*
First Name
Last Name
Parent/Guardian
*
Parent/Guardian Phone
(###)
###
####
Emergency Contact
Called ONLY if parent/guardian is unreachable
Emergency Contact Phone
(###)
###
####
Medical Conditions
Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test
I Agree
Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test Test test
I Agree
By entering my name and pressing "Submit" I electronically sign this Medical Authorization Form
First Name
Last Name
Date
MM
DD
YYYY
Thank you!
