APPROVAL FORM 11https://canadianchallenge.com/wp-content/plugins/nex-forms-express-wp-form-builderfalsehttps://canadianchallenge.com/thankyou/messagehttps://canadianchallenge.com/wp-admin/admin-ajax.phphttps://canadianchallenge.com/junior-permissionno1fadeInfadeOut ... if under 18 years of age*Date*Name*Email*Phone Number*Address*Post Code*D.O.B*Parent/Guardian Name*Phone Number*Does the child/musher have any chronic diseases? (Diabetes, seizures etc.)--- Please Choose ---YESNOIf Yes to the above, please detail*Does the child/musher have any allergies? (Asthma, hay fever etc.)--- Please Choose ---YESNOIf Yes to the above, please detail*Is the child/musher on any medication?--- Please Choose ---YESNOIf Yes to the above, please detailDoctor AuthorisationI hereby give my permission for first aid or emergency medical treatment to be given as needed to my child/musher (Named Above) while participating in the Canadian Challenge Sled Dog race. If immediate observation or treatment is judged to be necessary by Canadian Challenge Race officials, I authorize and direct them to take the child/musher (properly accompanied) to the most easily accessible hospital or doctor. It is understood that I will assume full responsibility for the payment for any service provided.*Parent/Guardian PermissionSUBMIT Form sent successfully... thankyouCheck your email for a copy.
