EMERGENCY MEDICAL AUTHORIZATION. I hereby authorize any medical treatment deemed necessary in the event of any injury while participating in the Events. I have appropriate insurance, or in its absence, agree to pay all costs of rescue and/or medical services as may be incurred on my behalf.
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Samples: Participant Release and Indemnification Agreement, Participant Release and Indemnification Agreement, Participant Release and Indemnification Agreement
EMERGENCY MEDICAL AUTHORIZATION. I hereby authorize any medical treatment deemed necessary in the event of any injury while participating in the Eventsthis Event. I have appropriate insurance, or in its absence, agree to pay all costs of or rescue and/or medical services as may be incurred on my behalf.. Participant’s Medical/Physical Conditions (including allergies): Participant’s Medications: Dosage: Participant’s Physician: Phone#: Participant’s Health Insurance Company: Policy#:
Appears in 2 contracts
Samples: Participant Release and Indemnification Agreement, Participant Release and Indemnification Agreement
EMERGENCY MEDICAL AUTHORIZATION. I hereby authorize any medical treatment deemed necessary in the event of any injury while participating in the Eventsthis Event. I have appropriate insurance, or in its absence, agree to pay all costs of or rescue and/or medical services as may be incurred on my behalf.. Participant’s Medical/Physical Conditions (including allergies): Participant’s Medications: Participant’s Physician: Participant’s Health Insurance Company: Dosage: Phone#: Policy#:
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