LEONI MEADOWS CHALLENGE COURSE RELEASE AND ASSUMPTION OF RISK AGREEMENT FORMDecember 13th, 2021
FiledDecember 13th, 2021MEDICAL RELEASE: Permission is granted for any x-‐ray, examination, anesthetic, medical or surgical diagnosis or treatment, and hospital service that may be rendered under the general or specific instruction of camper’s physician or any physician the camp may call, whether such diagnosis or treatment is rendered at the office of camper’s physician, at a licensed hospital, urgent care facility, or at the camp. Parent(s), of course, will be contacted. It is further understood that this consent is given to authorize Leoni Meadows or the physician to exercise his/her best judgment as to the requirement of such diagnosis or treatment. I also give permission to the nurse/doctor to give over-‐the-‐counter medications as listed on reverse side including but not limited to, pain medication, cold and flu medication unless otherwise noted. This consent shall remain in continuous effect until revoked in writing or said minor is removed by the parent or guardian from the care of Leoni Meadows Ca