Parent Contact Information
Quick Reference Sheet for the Coaches and Chaperones
In case of Emergency During Sectionals
|
Swimmers Name |
|
|
|
Parent’s Names |
|
|
|
If attending the meet, hotel you will be staying at |
|
|
|
Hotel phone number |
|
|
|
Parents’ Cell Phone |
|
|
|
Parents’ Home Number |
|
|
|
Secondary (Emergency) Contact and Phone Number |
|
|
|
Allergies |
|
|
|
Insurance Provider |
|
|
|
Any other pertinent information which you feel could help us in case of emergency. |
|
|
I hereby give permission to Chris del Galdo, Robert Strube, and Jacob Ayers to authorize emergency medical care for my child __________________________.
Signature:____________________________________
Date:________________________________________