Medical Release Form Parent or Legal Guardian Medical Release Form for ChildWe apply all safety precautions but in case of an accident, the Northwest Texas Field and Stream will not be held responsible. Permission slips must be signed by parent or legal guardian and returned before leaving for the hunt.Hunt *Please choose which hunt you would like your child to participate in.Dovehunt - Boys or GirlsDeer Hunt - BoysDeer Hunt - GirlChild Name *Child Age *Parent or Guardian Name *Parent Email *Street Address *City *State *Parent or Guardian Authorization *Yes, in the event of an emergency, I authorize a Northwest Texas Field and Stream representative to obtain medical and/or surgical treatment for my child.Parent or Guardian Cell Phone Number *Secondary Emergency Phone Number Child Medication *YesNoIf Yes, please provide medication details here. Child Allergies *YesNoIf Yes, please provide allergy details here. Medical Insurance InformationPolicy Holder Name *Insurance Company Name *Policy Number * Hunting License InformationChild First Name *Child Middle Initial *Child Last Name *Child Social Security Number *Date of Birth *Gender *MaleFemaleChild Height *Child Eye Color *Child Hair Color *Child Address is same as above. *YesNo, if selected please provide address below.Street Address City State By signing this release, I give permission for my child to attend the weekend hunt and to use my child’s photograph for use on NWTFS website and/or newsletter as appropriate. VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank:
