Institute for Sports Medicine

Enrollment and Payment Forms for KIPP

Please complete the following forms to participate in KIPP. Once forms are completed please fax to 312.227.9404 or mail to: Institute for Sports Medicine, Children's Memorial Hospital, 2300 Children's Plaza, Box 69, Chicago, IL 60614.

• General Consent and Enrollment Form
• Payment Form

Group rates available. Please call 312.227.6527 for more information.