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Sledge Hockey Medical Information Sheet

Welcome to Hockey Alberta’s Sledge Hockey Player Development Camp. We take the health and safety of each of our participants very seriously.

The following Medical Information Sheet must be filled out completely and truthfully. Any medical condition or injury MUST be checked by your physician before participating in a hockey program. It is the responsibility of each player, and his/her parents/guardians (if applicable), to keep the team management advised of any changes in the above information as soon as possible.

NOTE: In lieu of physical signatures on this form, authorization to act and certification of the accuracy of the information in provided via checkbox verification for both athlete and parent/guardian (if applicable). If would like a copy of the form, please enter your email address in the field at the very bottom of the form.

Sledge Hockey Medical Information Sheet

Required Fields *


Player Information

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Medical Information

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General Health Questions



Head Injuries/ Concussions



Neck Injuries/ Burners/ Stingers



Other Injuries

Check at least one of the following:

















Authorizations



Athlete Verification



Forward Submission

If you wish to forward this form submission to other related person(s) please enter their email addresses below, separated by commas. (ex: info@example.com,person2@example.com)