Medical Authorization. In the event of illness or injury while participating in the above referenced activity, I hereby consent to whatever x-ray, examination, anesthetic, medical, surgical, dental diagnosis or treatment, hospital care and emergency transportation from a licensed physician, surgeon, and/or dentist as deemed necessary for my safety and welfare.
Medical Authorization. In case of a medical emergency, I understand that my child will be transported to the hospital by the local emergency unit for treatment if the local emergency resource (police, rescue squad, etc.) deems it necessary. The child will be transported at the expense of the parents/guardian. It is understood that in some medical situations the staff will need to contact the local emergency resource before the parent, child’s physician and/or other adult acting on the parent’s behalf. I hereby give permission to the DAYSPRING PRESCHOOL to take whatever emergency measures (first aid, disaster, etc.) are deemed necessary for the protection and care of my child while under the supervision of the school.
Medical Authorization. If, in the opinion of a properly licensed and practicing physician, Student needs medical or surgical services which require Xxxxxx’s pre-authorization or consent, Parent hereby authorizes, appoints, and empowers the School to act as Parent and furnish such consent on Xxxxxx’s behalf. Parent confirms that it is Parent’s desire that Student be furnished with such medical or surgical services as soon as reasonably possible after the need arises. Parent hereby releases and holds the School harmless from any liability which might arise from the giving of such consent. Xxxxxx agrees to reimburse the School for any medical expenditure made on Student’s behalf.
Medical Authorization. USER agrees to obtain a signed Medical Authorization in a form the same or substantially the same as Exhibit “C,” attached hereto and made a part hereof, on behalf of every minor participant. USER represents and warrants that it has or will obtain a signed Medical Authorization on behalf of each minor participant before the start of the Program. USER agrees to provide FIU with fully executed Medical Authorization forms within a reasonable time when requested by FIU. USER indemnifies FIU and agrees to be responsible for any costs that FIU may incur for medical treatment sustained during the Program if USER fails to obtain a valid Medical Authorization form.
Medical Authorization. I hereby: 1) authorize the Released Party to undertake any emergency medical care for me; 2) authorize the Released Party and/or their authorized personnel to call for medical care for me or to transport me to a medical facility or hospital if, in the opinion of such personnel, medical attention is needed; 3) agree that, following my transport to any such medical facility or hospital, the Released Party shall not have any further responsibility for me; 4) agree to pay all costs associated with the medical care, rescue, or any related transportation provided for me; and 5) shall hold the Released Party harmless from any claims associated with such medical care and/or related transportation.
Medical Authorization. I hereby: 1) authorize AzRA to undertake any emergency medical care for me; 2) authorize AzRA and/or their authorized personnel to call for medical care for me or to transport me to a medical facility or hospital if, in the opinion of such personnel, medical attention is needed; 3) agree that, following my transport to any such medical facility or hospital, AzRA shall not have any further responsibility for me; 4) agree to pay all costs associated with the medical care, rescue, or any related transportation provided for me; and 5) shall hold AzRA harmless from any claims associated with such medical care and/or related transportation, except for those claims based upon AzRA’s negligence.
Medical Authorization. The employee is subject to his/her doctor stating said employee can return to work. The Employer reserves the right to require the employee to be examined on the employee's return to work by a doctor selected by the Employer which examination shall be paid for by the Employer, and subject to Article Sixteen (16).
Medical Authorization. I acknowledge that I am responsible for all medical and other costs arising out of bodily injury or any loss sustained through participation in the “BTHS Girls Lacrosse Summer Mini Camp”, 2018 Summer Lacrosse program. I hereby authorize and give my consent to BTHS Lacrosse coaches and/or l a c r o s s e staff to act on my behalf to secure any hospital, physician, ambulance and/or medical personnel for immediate treatment deemed necessary in connection with the “BTHS Girls Lacrosse Summer Mini Camp”, 2018 Summer Lacrosse program. I understand that should an emergency medical problem arise, an attempt will be made to call the emergency phone number(s) that I have provided. In the event that the emergency contact cannot be reached, I hereby give consent to such treatment as deemed necessary by a licensed health care professional. Check here if medications are required: . If yes, additional authorization will be required.
Medical Authorization. In the event of an accident or emergency, I hereby authorize myself or my child to be transported to a hospital for medical treatment and I hold Emerald City Karate, Family Karate Center, Yakima School of Karate, and their representatives harmless in the execution of such. Additionally, I hereby agree to individually provide for all medical expenses which may be incurred by myself or my child as a result of any injury sustained while participating at Gasshuku.
Medical Authorization. In the event of an injury to the above minor during the above described activities, I give my permission to 1333 Elite Sports Performance or to the employees, representatives or agents of 1333 Elite Sports Performance to arrange for all necessary medical treatment for which I shall be financially responsible. This temporary authority will begin on and will remain in effect until terminated in writing by the undersigned or when the above described activities are completed. 1333 Elite Sports Performance shall have the following powers:
a. The power to seek appropriate medical treatment or attention on behalf of my child as may be required by the circumstances, including without limitation, that of a licensed medical physician and/or a hospital;
b. The power to authorize medical treatment or medical procedures in an emergency situation; and
c. The power to make appropriate decisions regarding clothing, bodily nourishment and shelter.
