CONSENT FOR EMERGENCY MEDICAL TREATMENT. We, the Parents of , give permission for emergency medical treatment of our child for illness or accident if we cannot first be contacted.
CONSENT FOR EMERGENCY MEDICAL TREATMENT. I do hereby give authority to Smart Stars Academy staff to obtain necessary emergency medical treatment for my child with the understanding that the family will be notified as soon as possible. Signature Date / /
CONSENT FOR EMERGENCY MEDICAL TREATMENT. In the event of illness or injury, I hereby authorize University employees to obtain emergency or other medical treatment for me as deemed necessary, including administration of an anesthetic or other medication and surgery, and I hereby assume the cost of such treatment. I understand that this authorization is given in advance of any specific diagnosis, treatment, or hospital care being required, but is given to provide authority and power on the part of the University employee to give specific consent to the diagnosis, treatment or hospital care which in the best judgment of a licensed physician is deemed advisable. A copy of this Agreement and Release and Consent for Emergency Medical Treatment shall have the same force and effect as the original.
CONSENT FOR EMERGENCY MEDICAL TREATMENT. As the participant or the parent, legal guardian or appointed conservator of the participant of this program, I hereby give consent to the VCPC to obtain all medical or dental care for myself or my dependent as prescribed by a duly licensed medical professional. This care may be given for whatever conditions are necessary to preserve the life, limb and well- being of myself or my dependent.
CONSENT FOR EMERGENCY MEDICAL TREATMENT. I do hereby give authority to Stargazer Day Camp Program staff to obtain necessary emergency medical treatment for my child with the understanding that the family will be notified as soon as possible. Parent/Guardian Signature: Date Tel.
CONSENT FOR EMERGENCY MEDICAL TREATMENT. In cases of emergency, the Shenandoah Academy of Dance is authorized to arrange for medical services for the student and I consent to appropriate medical and surgical service recommended by licensed medical pro- fessionals. I accept full responsibility for all costs of said medical care and any emergency treatments. The Shenandoah Academy of Dance will not be responsible for the cost of any medical care or emergency treat- ments. I hereby waive all claims whatsoever in connection with such medical treatments. I agree that Shenan- doah Academy of Dance including its instructors will not be held liable for and agree to hold Shenandoah Academy of Dance including its instructors harmless from any and all liabilities, losses, damages or expenses related to the student’s participation in any activities at Shenandoah Academy of Dance.
CONSENT FOR EMERGENCY MEDICAL TREATMENT. 10. In the event of illness or injury, I hereby authorize JSNN employees to call medical emergency services for emergency assistance for my child/xxxx as deemed necessary, including administration of an anesthetic or other medication and surgery, and I hereby assume the cost of such treatment. I understand that this authorization is given in advance of any specific diagnosis, treatment, or hospital care being required, but is given to provide authority and power on the part of the JSNN employee to give specific consent to the diagnosis, treatment or hospital care which in the best judgment of a licensed physician is deemed advisable. A copy of this Agreement and Release and Consent for Emergency Medical Treatment shall have the same force and effect as the original.
CONSENT FOR EMERGENCY MEDICAL TREATMENT. I hereby give my consent to Splash Swim School, and/or its officers, directors, shareholders, employees, and/or agents, to obtain all emergency medical or dental care prescribed by a duly licensed physician or dentist for the Child. In the event that the Child receives any treatment authorized by this consent, I will promptly reimburse Splash Swim School, and/or its officers, directors, shareholders, employees, or agents in the event that it and/or they incur costs relating to any such treatment provided to the Child.
CONSENT FOR EMERGENCY MEDICAL TREATMENT. I, , and if applicable the parent/legal guardian (Please Print) (Please Print) Give permission to the officials of Swim Ontario to make decisions concerning medical care and treatment, and where necessary to authorize such care and treatment in emergency situations. I understand that the officials of Swim Ontario will make every reasonable effort, in the circumstances, to contact the Emergency Contacts regarding my or my child’s/xxxx’x medical status in the event an emergency arises. In the event that the Emergency Contact cannot be reached in an emergency, I hereby give my permission to the licensed physician, dentist, athletic therapist, nurse or other medical professional, whose services might be required, to provide medical care and treatment. By signing here, I indicate that I have the understanding and capacity to communicate health care directives for my child/xxxx, and that I am fully informed as to the contents of this document. Dated: , 20 _ Signature Dated: , 20 _ Parent/Guardian In consideration of my engagement as a registrant of Swim Ontario, and for other good valuable consideration herein acknowledge as received, I hereby grant to Swim Ontario – its staff, Board Representatives, and those acting with its authority and permission, the irrevocable and unrestricted right and permission to take, copyright in their own name and otherwise, and use, reuse, and publish pictures of me in all artwork or media used in promotion, editorial, trade, advertising, Broadcast/live streaming of events, website display, social media, or for any other purpose whatsoever. I also consent to the use of any published matter in conjunction therewith. I hereby release, discharge and agree to save harmless Swim Ontario – its staff, Board Representatives, and those acting with its authority and permission, from any liability of distortion or altered use that may occur or be produced in the taking of said picture(s), video, or in any subsequent procession thereof, including without limitation any claims for libel or invasion of privacy. I hereby warrant that I am of full age or have a Parent/Guardian to rightly contract my own name. I have read the above authorization, release and agreement, and I am fully familiar with the contents thereof. This release shall be binding upon me and my heirs, legal representatives, and assigns. NAME: DATE: SIGNED: Parent/Guardian: SIGNED: Participant (if 18 years of age or older: WITNESS:
CONSENT FOR EMERGENCY MEDICAL TREATMENT. I, __ _ _ _ , give permission to the Organization to make decisions concerning my medical care and treatment, and where necessary to authorize such care and treatment in emergency situations. I understand that the Organization will make every reasonable effort, in the circumstances, to contact _ _ _ __ _ _ at _ __ _ regarding my medical status in the event an emergency arises. In the event that __ cannot be reached in an emergency I hereby give my permission to the licensed physician, dentist, athletic therapist, nurse, or other medical professional whose services might be required to provide medical care and treatment to me. By signing here, I indicate that I have the understanding and capacity to communicate health care directives for myself and that I am fully informed as to the contents of this document and understand the full import of this grant of powers to the Organization.
