© 2018 - Fairview Health Services. All rights reserved.


Print

M Health Fairview Athletic Training: New Event Request

 
School/Event Name
Location
Sport
Level
Event Address
City, State, Zip
Bill To Name
Billing Address
City, State, Zip
Primary Contact Name
Phone
Contact Cell Phone DAY OF EVENT
E-Mail
Date Start Time End Time Number of Athletic
Trainers Requested

Please tell us anything else you would like us to know about your event:




Guidelines for Requesting Coverage:
One athletic trainer per sheet of ice.
One athletic trainer for 4 mats of wrestling.
One athletic trainer per venue of non-collision events.
Tournaments typically schedule 2 months out.
Last-minute requests may get partial coverage only.
Other criteria subject to discretion of M Health Athletic Training.