Team Medical Form

Medical Release and Attendance Consent

This form must be completed and signed by all Weekend participants prior to the commencement of the Weekend activities. 

This completed Form will be held by the Birmingham Tres Dias Secretariat Representative (or designated party) during the course of the Weekend. 
Date

Please indicate any and all medical allergies, medical problems or conditions, physical limitations (e.g. asthma, diabetes, allergies), or any pertinent information.

I have, and do hereby, release Birmingham Tres Dias, its directors, and/or agents from all liability associated with participating in Birmingham Tres Dias.

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