THIS FORM MUST BE COMPLETED IN ITS ENTIRETY.
Purpose: This form enables parents (or a participant age 18 or over) to authorize emergency medical treatment in the event of illness or injury while the child is a participant in any activity or trip with Sinclair Community College and provides health information and medical insurance information about the child.
Some of this information may be a repeat from what was entered in the student’s application. Please fill out everything that is required. This is a separate document that is filed apart from the application, so that is why the information is needed twice. Thank you!