Medical Treatment Authorization. Permission is hereby granted for any chaperone, any of the Organizers’ staff, or adult present or in charge of first aid, to authorize and to obtain medical attention, hospitalization, or medication in case of sickness or injury to Participant. By signing below, undersigned acknowledges that the Organizers have undersigned’s permission to make all medical/dental/surgical decisions regarding health care emergencies and to provide for medical care for Participant during the Event. The undersigned hereby accepts any and all financial obligations incurred as a result of such immediate medical treatment, and subsequent related costs.
Medical Treatment Authorization. As the parent/guardian of (please print student’s name), a student participating in the Global Youth Leadership Institute, I authorize physicians and/or other medical personnel, at the direction of GYLI or my child’s/xxxx’x chaperone to provide medical care to my child/xxxx while he/she is away from home and participating in the GYLI, including examining, treating and prescribing medications for her/his care. I understand that the faculty and staff and/or the chaperone will, to the greatest extent possible, consult with me concerning the reasons for and effects of all such care. Recognizing that it may be impossible to reach me in situations in which the physicians treating my child/xxxx believe that beginning treatment is medically necessary, I authorize GYLI or the chaperone to permit commencement of treatment when, in the professional judgment of the physicians or medical personnel involved, such treatment is medically necessary, even if I/we have not yet been consulted. In authorizing such emergency treatment, I agree to accept the determination of the treating physician or surgeon that the treatment or examination rendered was medically necessary to protect the life, health or mental well-being of my child/xxxx. I give this authorization on the condition that the treating physician will attempt to contact me, if at all possible, before the treatment or examination is rendered. Signature of Parent/Guardian Date
Medical Treatment Authorization. In the event of illness and/or injury, I (parent/legal guardian named below) do hereby consent to whatever medical or dental diagnosis and/or examination, emergency care and/or transportation to hospital or clinic, treatment, x-rays, anesthetic, or surgical care is considered necessary in the best judgment of the attending physician, surgeon, or dentist and performed under the supervision of a member of the medical staff of the hospital or facility furnishing medical or dental services for my son/daughter/xxxx.
Medical Treatment Authorization. I consent to allow Oakwood School to administer first aid or to authorize medical care for my child in its sole discretion. This authorization is given pursuant to Section 6910 of the California Family Code and is intended to be effective both within and without the State of California.
Medical Treatment Authorization. In the event of an injury or illness, I give permission for my child, to be treated by a qualified athletics trainer, nurse or licensed EMT and/or emergency room staff at the local hospital. (signature of parent or guardian) (date) I agree that my child must turn in his/her car keys, if applicable, to camp staff at check-in if driving himself/herself to camp. I agree, on behalf of myself, my child, and our assigns, executors, and heirs, to indemnify, and hold harmless, Oswego State and its trustees, officers, agents and employees from any and all liability, damage and claims of any nature arising out of or in any way related to my child’s participation in this program except those things caused by the sole negligence of Oswego State. (parent or guardian please PRINT name here) (date) (signature of parent or guardian) A photocopy of your child's Record of Immunizations must be obtained from your physician and submitted on the physician’s stationary. PLEASE RETURN ALL FORMS TO: Oswego State Summer Athletic Camps SUNY Oswego Laker Hall Oswego, NY 00000-0000
Medical Treatment Authorization. In the event of a medical emergency during SDLC, Parent(s) authorize NAIS to contact emergency medical personnel to provide emergency medical care to the Student Participant while participating in SDLC, including emergency medical examinations and treatments and providing prescription medication. Parent(s) authorize NAIS to contact 911 in the event of an emergency and understand that whether such an event is an emergency shall be determined in the sole discretion of NAIS. By signing below, Parent(s) understand that this may include ambulatory care and transportation. Parent(s) recognize that the School and NAIS should attempt to contact Xxxxxx(s) to communicate regarding care but that such communication may not be possible or practicable in certain circumstances and authorize NAIS to commence and oversee such medical care. Parent(s) further authorize the treatment of care that is medically necessary, in the professional opinion of attending physicians and emergency responders, even in the event they cannot be reached. By signing below, Parent(s) give all such authorizations, agree to accept the determinations of NAIS and the attending medical professionals, and accept all associated costs. EDUCATIONAL OUTCOMES NAIS makes no representations or undertakings as to the kind, quality, or appropriateness of SDLC for any particular student, nor does it guarantee any particular educational outcome. By signing below, Parents understand that NAIS may, in its sole discretion, change without notice its offerings, activities, schedules, and personnel for SDLC, as well as policies, procedures, and practices, as circumstances may warrant. This discretion includes, but is not limited to, hosting a virtual or hybrid conference, as determined appropriate by NAIS.
Medical Treatment Authorization a. I acknowledge that I will consult with a medical doctor before I depart regarding personal medical needs and that I currently have no known physical or mental health-related reasons to preclude participation from the PROGRAM.
Medical Treatment Authorization. I, (PARTICIPANT), authorize Flood the Nations, through its agents and representatives, to take whatever action is deemed necessary with respect to my health and safety. I authorize Flood the Nations and its agents and representatives to place me, at their discretion and without my further consent, in a hospital or in the care of a local doctor for medical services and treatment. If necessary or desirable, I also authorize them to transport me back home for medical treatment. I agree that I, along with my parents or guardian if applicable, will be fully responsible for any and all expenses, including transportation costs, associated with or in any way related to my medical care. PARTICIPANT PRINT FULL NAME: Signature: Date:
Medical Treatment Authorization. In case of injury to my child, whether during participation in the events, transportation to or from the events, or otherwise, I hereby authorize the healthcare professional selected to provide whatever medical treatment(s) he/she deems necessary to my child. I agree to make a claim for any medical expenses thereby incurred on my (our) personal insurance.
Medical Treatment Authorization. In the event Minor becomes injured or ill while at the YMCA facilities and/or participating in the Childcare Activities, I/we authorize the Released Parties to secure first aid and/or the services of any legally qualified physician or hospital for Minor and I/we agree to assume any financial obligations incurred therewith.
