Kachina Rescue Association
Publisher & Editor of KachinaRescue.com:
Alan Romania

This entire Web site is ©  2007 Alan Romania & Kachina Rescue Association.
Kachina Rescue® Kachina Rescue Association® and the KRA logo are registered trademarks
All rights reserved.
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    Across the Years 2008
    Participant Medical Information
* Required Field
*Your name:
*Participant
*Your email address:
DO NOT CHANGE
Event:
Pre-event blister
prevention taping?
*Medical Conditions
our staff should be
aware of?
Questions for the
medics?
Kachina Rescue. The information will only be used to provided care, should it be needed to the participant.
Information will be only shared with medical providers directly involved with patient care and Kachina Rescue's
medical director. Kachina Rescue does not bill individuals for our services, however should a patient require EMS
transportation to the hospital the transport provider will bill the patient/patient's insurance for their services. If you
have any questions please submit them using this form.

Kachina Rescue looks forward to supporting you for this event! We will be providing Pre-event foot taping for blister
prevention, please fill out the above form if you are interested in this service. Check back for additional information a
for participants as the event gets closer. Good luck with your training and Be Safe!