Player Medical Release Form to be completed by Parent or Guardian.
I hereby give permission for any and all medical attention necessary to be administered to my child. In the event of accident, injury, sickness, etc., while they are
under the care and supervision of the Alameda Vipers AAU Basketball Club until such time as I may be contacted and/or
present at the event. I have also authorized alternate persons to be contacted for guidance. I hereby give permission for treatment of my child as may be required and determined by the appropriate health care professional who is present.
This release remains in effect annually for the duration of my child’s membership with Alameda Vipers. I hereby assume responsibility for payment of such treatment and have attached my child’s insurance information.