Medical Authorization Forms


AUTHORIZATION AND MEDICAL CONSENT FORMS are required for all our regular attending children and youth under the age of 18 years for insurance purposes.  A current Medical Consent Form for the school year 2016/2017 is available from the teacher or you can click below to print your own (fill out and return to teacher).

CHILDREN (ages 4 – 11):
Authorization and Medical Consent Form 2016/2017 for CHILDREN
Authorization and Medical Consent Form 2016/2017 for CHILDREN – Fillable Form*

YOUTH (ages 12 – 17):
Authorization and Medical Consent Form 2016/2017 for YOUTH
Authorization and Medical Consent Form 2016/2017 for YOUTH – Fillable Form*

*Fillable Forms need to be saved onto your computer before filling in the form (otherwise the information typed in will not be saved)

Photos – if you have Adobe Acrobat Pro you can add a photo from your computer to the Form by double clicking the box, use “browse” button to locate a current picture from your computer – remember to change the file type at the bottom right from .pdf to JPEG so you can choose a picture file to input. A sample will show in the box – click OK (it will fit to size in the box). It might work if you have Adobe Reader for viewing PDF files but I think you can only input a PDF file so you woukd have to convert your picture to a PDF file first or just attach a picture after you print the file. (SORRY! I TRIED!)