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New Member Application

 

Medical History Form

indicates a required answer

Medical Release Form
1. *

First and Last Name
2. *

Do you or any of your children take any medications that we should be aware of? If yes, please describe.
3. *

Do you or any of your children have any allergies that we should be aware of? If yes, please list the name and what allergies he/she has.
4. *

Do you or any of your children have any medical conditions we need to be aware of? If yes, please describe.