USNSCC/USNLCC

Medical Allergy Information Form

Office of Medical Officer

 

EMERGENCY CONSENT

I hereby give my consent to the Naval Sea Cadets and/or Officers to obtain medical

attention to ____________________________________, in the event of an emergency

or a Medical injury that requires a Physician’s attention during Drills for either Admiral

William F. Halsey Battalion or Training Ship Boyington.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parent Name (Print)

Parent Signature

Date:

Home Phone

  

Mothers/Father’s Cell Phone

    
         

Commanding Officer

  

Unit

  

Date