Medical Release Form


DO NOT MAIL THIS FORM TO TRI-STATE, BRING THEM WITH YOU TO THE CAMP

For our records, and for your protection, please download and complete both sides of our medical release form, supplying ALL requested information. Wisconsin law mandates that all participants must have had a physical examination within the preceding 36 months.

The proper signatures on this form indicate compliance with this state regulation. This form requires the signature of the participant and of a parent or legal guardian of the participant, if the participant is under the age of 18 years old.

Download Medical Release Form (adobe acrobat)

DO NOT MAIL THIS FORM TO TRI-STATE, BRING THEM WITH YOU TO THE CAMP


ABOUT
CAMP DETAILS
features
quick facts
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general info
location info
medical release form
SESSIONS
Address:605 S Randolph St
Cuba City, WI 53807
Home Phone:608-744-2585
Cell Phone:608-778-1986
Fax:608-744-7389
Email:tristate@mhtc.net


Important Camp Forms

  • Medical Release Form

  • Registration Forms
  •