Member Player Profile


What Church does the Player Attend? (If none, write none):
First Presbyterian Church of Granada Hills
What School does the Player Attend?
First Presbyterian Weekday School
Health Insurance Provider:
Blue Cross Blue Shield
Policy #:
PBM110695360001
Family Physician:
Dr. Weidman
Physician Phone #:
818-713-9377
I hereby authorize Valley Christian Athletic Association to provide proper medical care for my child as they deem necessary; such as but not limited to, call 9-1-1, bring my child to the nearest emergency room or urgent care, apply ice, apply bandage:
I Agree


Send Your Feedback