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Individual Registration Form - Airtel Africa

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player registration form<br />

First Aid<br />

In the event of an emergency, I authorize the staff of <strong>Airtel</strong> or the Emergency Medical Technicians to provide<br />

any first aid care deemed necessary for my child.<br />

Signature____________________________________ Date _____________________________________<br />

Emergency Care<br />

In the event of an emergency in which I cannot be reached, the physician listed above or a local hospital<br />

are hereby authorized to provide any emergency care deemed necessary for my child.<br />

Signature____________________________________ Date _____________________________________<br />

Hospitalization<br />

In the event of an emergency that should require hospitalization, I authorize the staff of <strong>Airtel</strong> or the<br />

Emergency Medical Technicians to provide any first aid care deemed necessary for my child.<br />

I further affirm that I have ensured that my child has travel and medical insurance in connection with his<br />

or her participation in the <strong>Airtel</strong> Rising Stars Football Tournament.<br />

Health Record Transfer<br />

In the event of an emergency, I hereby authorize the transfer of my child’s health record to the local hospital.<br />

Signature____________________________________ Date _____________________________________

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