Emergency Medical Treatment. In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if you are unable to reach me at the above numbers, contact:
Appears in 9 contracts
Samples: Adult Liability Waiver, Permission and Indemnity Agreement, Indemnification & Liability
Emergency Medical Treatment. In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if you are unable to reach me at the above numbers, contact:
Appears in 8 contracts
Samples: Parental Consent Form & Indemnity Agreement, Parental Consent Form & Indemnity Agreement, Parental Consent Form & Indemnity Agreement
Emergency Medical Treatment. In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if you are unable to reach me at the above numbers, please contact:
Appears in 3 contracts
Samples: Mock Patient Participant Release & Indemnity Agreement, Mock Patient Participant Release & Indemnity Agreement, Mock Patient Participant Release & Indemnity Agreement
Emergency Medical Treatment. In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital a doctor or doctorhospital. In the event of an any emergency, if you are unable to reach me at the above numbers, contact:contact Name/Relation Emergency Phone Number
Appears in 2 contracts
Samples: Parental Consent Form & Indemnity Agreement, Parental Consent Form & Indemnity Agreement
Emergency Medical Treatment. In the event of an emergency, I hereby give permission to transport my child YOUTH to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if you are unable to reach me at the above numbers, contact:
Appears in 2 contracts
Samples: Permission and Indemnity Agreement, Indemnification & Liability
Emergency Medical Treatment. In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital a doctor or doctorhospital. In the event of an any emergency, if you are unable to reach me at the above numbers, contact:
Appears in 2 contracts
Samples: Parental Consent and Indemnity Agreement, Parental Consent and Indemnity Agreement
Emergency Medical Treatment. In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital a doctor or doctorhospital. In the event of an any emergency, if you are unable to reach me at the above numbers, contact:contact at .
Appears in 2 contracts
Samples: Parental Consent Form & Indemnity Agreement, Parental Consent Form & Indemnity Agreement
Emergency Medical Treatment. In the event of an emergency, I hereby give permission to transport my child to a hospital for hospital. I agree to allow my child to receive emergency medical or surgical treatmenttreatment at my expense at the discretion of the event leaders. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if you are unable to reach me at the above numbers, contact:
Appears in 1 contract
Samples: Parental Guardian Consent Form and Indemnity Agreement
Emergency Medical Treatment. In the event of an any emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital a doctor or doctorhospital. In the event of an emergency, if you are unable to reach me at the above numbers, contact:
Appears in 1 contract
Emergency Medical Treatment. In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital a doctor or doctorhospital. In the event of an any emergency, if you are unable to reach me at the above numbers, contact:: Name Relationship Phone Number
Appears in 1 contract
Emergency Medical Treatment. In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if you are unable to reach me at the above numbers, contact:
Appears in 1 contract
Emergency Medical Treatment. In the event of an any emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital a doctor or doctorhospital. In the event of an emergency, if you are unable to reach me at the above numbers, contact:: .
Appears in 1 contract
Samples: Parental/Guardian Consent Form and Indemnity Agreement
Emergency Medical Treatment. In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital a doctor or doctorhospital. In the event of an emergency, if you are unable to reach me at the above numbers, contact:Contact Relationship Phone
Appears in 1 contract
Emergency Medical Treatment. In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if you are unable to reach me at the above numbers, contact:,
Appears in 1 contract
Emergency Medical Treatment. In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if emergency and you are unable to reach me at the above numbers, contact:
Appears in 1 contract
Samples: Activity Participation Agreement