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Lifeguard Hold Harmless and Medical Release Information Mobile App

Injuries are inherent to sports; therefore, in the event of an injury the Lifeguard Hold Harmless and Medical Release Information mobile app releases liability and also insures that participant has their own primary medical insurance prior to training.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Lifeguard Hold Harmless and Medical Release Information Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico statictext

    Beach Patrol, its officers and volunteers, as well as all sponsors from all liability.

  • Ico textbox

    Name (Participant)

  • Ico textbox

    Insurance Company

  • Ico textbox

    Policy Number

  • Ico textbox

    Physician

  • Ico textbox

    Phone #

  • Ico multiline

    Address

  • Ico textbox

    Emergency Contact (OTHER THAN YOURSELF)

  • Ico textbox

    Phone #

  • Ico multiline

    Known Allergies or Medical Conditions

  • Ico statictext

    PERMISSION FOR MINORS: As the lawful parent/guardian of the above child, I have read, completed a...

  • Ico statictext

    I acknowledge this to be a voluntary activity that is not without risk, and I assume all risks in...

  • Ico signature

    Signature (Parent/Guardian)

  • Ico date

    Date

  • ...and More!

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