INSURANCE DISCLOSURE. I am aware that my local Pop Warner organization carries group accident insurance which is considered secondary or excess for medical purposes to any and all valid insurance I possess is considered primary insurance. Furthermore, I agree to notify in writing my head coach and local Pop Warner organization of any medical claim as a result of participation in Xxx Xxxxxx as soon as reasonably possible. I understand that any registration fee paid does not constitute a direct premium for insurance and that a deductible(s) may apply.
Appears in 22 contracts
Samples: Participant Contract and Parental Consent Form, Participant Contract and Parental Consent Form, Participant Contract
INSURANCE DISCLOSURE. I am aware that my local Pop Warner organization carries group accident medical insurance which is considered secondary or excess for medical purposes to any and all valid my insurance I possess which is considered primary insurance. FurthermoreFurther, I agree to notify in writing my head coach and local Pop Warner organization of any medical claim as a result of from participation in Xxx Xxxxxx Pop Warner as soon as reasonably possible. I understand that any the registration fee paid does is not constitute a direct premium for insurance and that a deductible(s) deductibles may apply.
Appears in 17 contracts
Samples: Participant Contract and Parental Consent Form, Participant Contract and Parental Consent Form, Participant Contract and Parental Consent Form
INSURANCE DISCLOSURE. I am aware that my local Pop Warner organization carries group accident medical insurance which is considered secondary or excess for medical purposes to any and all valid my insurance I possess which is considered primary insurance. FurthermoreFurther, I agree to notify in writing my head coach and local Pop Warner organization of any medical claim as a result of from participation in Xxx Xxxxxx Pop Warner as soon as reasonably possible. I understand that any the registration fee paid does is not constitute a direct premium for insurance and that a deductible(s) may applydeductibles mayapply.
Appears in 8 contracts
Samples: Participant Contract and Parental Consent Form, Participant Contract and Parental Consent Form, Participant Contract and Parental Consent Form