DOCTOR'S PERMISSION FORM

Doctor's Permission
WE WILL NOT ACCEPT ANY SCHOOL PHYSCIALS OR DOCTOR’S NOTES THAT WERE COMPLETED OR SIGNED PRIOR TO 2016.

This will certify that _________________________ is physically qualified to attend the Patrick Murphy Softball School, Inc. listed in this application.

Physician's Signature: _________________________________________________________________________________________________________________

Date: _____________________________________________________________________________________________________________________________________

The Camper is Allergic to what Medications:

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Dr. Office Official Stamp: