2025 TDC Driver & Volunteer Medical Release

The safety and well-being of all participants is our top priority. The Driver & Volunteer Medical Release Form ensures that, in the event of a medical emergency, appropriate care can be provided quickly and efficiently. By completing this form, you authorize emergency medical treatment if needed and provide essential health information to assist first responders. This precaution helps us create a safe and secure environment for everyone involved in the Iowa Truck Driving Championships.

Please note: This form is only required for participating drivers and volunteers—guests and spectators do not need to complete it.

Fields marked with an * are required.

Driver or Volunteer Contact Information

First & Last Name *

Organization *

Cell Phone *

Email Address *

Medical Conditions & Medications

Disclosure

To ensure the safety and well-being of all participants, we ask that you disclose any medical conditions that may require attention during the event. Additionally, please list any medications you are currently taking that could be relevant in a medical emergency. This information will remain confidential and will only be used by event staff or medical personnel if necessary to provide proper care in an emergency situation.

Emergency Contact (Personal)
The information to enter below is specific to a PERSONAL emergency contact, NOT a company contact.

PERSONAL Emergency Contact (First & Last Name) *

Cell Phone *

Relationship

Emergency Contact (Company)
The information to enter below is specific to a COMPANY emergency contact that can assist.

COMPANY Emergency Contact (First & Last Name)

This is to be someone that will be ON-SITE at the event.

Cell Phone

Please verify that you have checked the “I'm not a robot” checkbox.