Wisconsin Medical Release Form 2
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Wisconsin Wave Sports Club
Medical Release and Waiver
THIS AUTHORIZATION FOR EMERGENCY MEDICAL TREATMENT MUST BE COMPLETED
BEFORE A PLAYER/YOUTH BEGINS PARTICIPATION IN ANY WISCONSIN WAVE SPORTS
CLUB PROGRAM. TREATMENT FOR INJURY WILL BE BASED ON INFORMATION PROVIDED
HEREIN.

I hereby authorize the staff of the Wisconsin Wave Sports Club, Athletic Republic, or JC
Basketball Academy to act for me according to their best judgment in any emergency requiring
medical attention and I hereby waive and release the Camp from any and all liability for any
injury or illness incurred while at Camp. I have no knowledge of any physical impairment that
would be affected by the above Camper’s participation in the Camp program, as outlined in the
brochure. I further understand the Camp retains the right to use for publicity and advertising purposes photographs of campers taken at Camp.
“As a participant or guardian of a participant in the program, I recognize and acknowledge that
there are certain risk