BelieveIn Me Foundation Inc. Football & Cheerleading Educational Community Awareness Event Registration Form 2024

Child 1

Child 2 (If Applicable)

Parent/Guardian - Contact Information

Parent/Guardian #1

Parent/Guardian #2

Medical Release Information

Insurance Information

Please List Any Medical Problems, Including Any Requiring Maintenance Medication (I.E. Diabetic, Asthma, Seizures).
Is Your Child Allergic To Any Type Of Food Or Medication?
Does Your Child Require A Special Diet?

Photo Release

The BelieveInMe Foundation Inc. and its co-organizers are not responsible for lost or damaged personal property. All scheduled events are subject to change. Children's photos and quotes may be used for publicity purposes. In case of an emergency, and if a family physician cannot be reached, I hereby authorize my child to be treated by Certified Emergency Personnel (i.e. EMT, First Responder, and/or Physician).
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