Common use of AUTHORIZATION FOR MEDICAL TREATMENT Clause in Contracts

AUTHORIZATION FOR MEDICAL TREATMENT. In recognition of the risks, which I am assuming by voluntarily participating in these activities, I hereby give TAKE FLIGHT, its agents and employees permission to treat me and to authorize medical treatment of me in the case of an emergency or accident. Participant Address: City: State: Zip Code: Phone: E-Mail Address: CAUTION! DO NOT SIGN THIS RELEASE IF YOU DO NOT AGREE WITH OR DO NOT UNDERSTAND ITS TERMS I understand that my involvement and participation in these activities is voluntary. I have the right and will notify TAKE FLIGHT if I do not want to participate in any or all of the activities. I will not allow my family or other participants in my group to influence my decision whether to participate. If at any time I am unsure, frightened, or unable to proceed I will immediately notify TAKE FLIGHT employees, who will assist me in continuing or in exiting the course. I HAVE READ THIS PARTICIPANT AGREEMENT, RELEASE AND ACKNOWLEDGEMENT OF RISK. I FULLY UNDERSTAND ITS TERMS, AND THAT I HAVE GIVEN UP LEGAL RIGHTS, AND I SIGN IT FREELY AND VOLUNTARILY. Signature of Adult Participant Printed Name of Adult Participant Date FOR PARTICIPANTS OF MINORITY AGE (under 18 years of age): As parent, guardian, or temporary guardian with legal responsibility for the below-named Minor(s), this is to certify that I have read the entirety of this document, and that by signing below on behalf of said Minor(s), the Minor(s) and I are bound by its terms. I hereby consent and agree to participation by said Minor(s) in the activities, and on behalf of myself and said Minor(s), I and said Minor(s) hereby agree to release, indemnify, defend and hold harmless the Released Parties from any and all loss, cost, claim, damage, injury or death to person or property arising from participation of said Minor(s) in the activities. IN THE EVENT THAT I AM NOT THE PARENT OR LEGAL GUARDIAN OF THE MINOR(S), OR I DID NOT HAVE THE LEGAL CAPACITY OR AUTHORITY TO EXECUTE THIS AGREEMENT ON BEHALF OF THE MINOR(S), THEN I AGREE TO DEFEND, HOLD HARMLESS AND INDEMNIFY THE RELEASED PARTIES FROM AND AGAINST ANY CLAIMS OR SUITS INSTITUTED AGAINST THE RELATED PARTIES AS A RESULT OF ANY LOSS, COST, CLAIM, LIABILITY, INJURY OR DEATH TO PERSON OR PROPERTY ARISING OUT OF, RELATING TO, OR IN ANY WAY CONNECTED WITH PARTICIPATION BY SAID MINOR(S) IN THE ACTIVITIES. Signature of Parent/Adult Legal Guardian Printed Name of Parent or Adult Legal Guardian if Participant is a Minor Date

AUTHORIZATION FOR MEDICAL TREATMENT. In recognition of the risks, which I am assuming by voluntarily participating in these activities, I hereby give TAKE FLIGHT, its agents and employees permission to treat me and to authorize medical treatment of me in the case of an emergency or accident. Participant Address: City: State: Zip Code: Phone: E-Mail Address: CAUTION! DO NOT SIGN THIS RELEASE IF YOU DO NOT AGREE WITH OR DO NOT UNDERSTAND ITS TERMS I understand that my involvement and participation in these activities is voluntary. I have the right and will notify TAKE FLIGHT if I do not want to participate in any or all of the activities. I will not allow my family or other participants in my group to influence my decision whether to participate. If at any time I am unsure, frightened, or unable to proceed I will immediately notify TAKE FLIGHT employees, who will assist me in continuing or in exiting the course. I HAVE READ THIS PARTICIPANT AGREEMENT, RELEASE AND ACKNOWLEDGEMENT OF RISK. I FULLY UNDERSTAND ITS TERMS, AND THAT I HAVE GIVEN UP LEGAL RIGHTS, AND I SIGN IT FREELY AND VOLUNTARILY. Signature of Adult Participant Printed Name of Adult Participant Date (or adult/legal guardian) (or adult/legal guardian) If signing for minor(s), complete pages 1-3 then continue to page 4. FOR PARTICIPANTS OF MINORITY AGE (under 18 years of age): As parent, guardian, or temporary guardian with legal responsibility for the below-named Minor(s), this is to certify that I have read the entirety of this document, and that by signing below on behalf of said Minor(s), the Minor(s) and I are bound by its terms. I hereby consent and agree to participation by said Minor(s) in the activities, and on behalf of myself and said Minor(s), I and said Minor(s) hereby agree to release, indemnify, defend and hold harmless the Released Parties from any and all loss, cost, claim, damage, injury or death to person or property arising from participation of said Minor(s) in the activities. IN THE EVENT THAT I AM NOT THE PARENT OR LEGAL GUARDIAN OF THE MINOR(S), OR I DID NOT HAVE THE LEGAL CAPACITY OR AUTHORITY TO EXECUTE THIS AGREEMENT ON BEHALF OF THE MINOR(S), THEN I AGREE TO DEFEND, HOLD HARMLESS AND INDEMNIFY THE RELEASED PARTIES FROM AND AGAINST ANY CLAIMS OR SUITS INSTITUTED AGAINST THE RELATED PARTIES AS A RESULT OF ANY LOSS, COST, CLAIM, LIABILITY, INJURY OR DEATH TO PERSON OR PROPERTY ARISING OUT OF, RELATING TO, OR IN ANY WAY CONNECTED WITH PARTICIPATION BY SAID MINOR(S) IN THE ACTIVITIES. Signature of Parent/Adult Legal Guardian Printed Name of Parent or Adult Date Guardian Legal Guardian if Participant is a Minor Printed Name of Minor Participant(s): Date of Birth Date Date of Birth Date Date of Birth Date