Medical Acknowledgement, Waiver, Consent And Release For Emergency '22

Added by Nicole Craig

Updated

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I do hereby give my consent for the above athlete to participate in The Las Vegas Gators (LVG) program. I THE UNDERSIGNED HEREBY WAIVES AND RELEASES any and all claims I may have against LVG, officers, directors, employees, volunteers, and agents, or representatives FROM ANY AND ALL LIABILITY DUE TO PERSONAL INJURY RESULTING FROM ACTIVITIES SPONSORED BY LVG, OR FOR WHICH LVG IS A PARTICIPANT.

Moreover, I authorize the coaching staff or assigned chaperones of LVG to act as Spokesperson in granting permission for emergency treatment/hospitalization (including anesthesia), if necessary for the aforementioned athlete and to make any decisions concerning the health, welfare and safety; including medical treatment of this athlete during my absence. I understand that should a health emergency arise, I will be notified, but if I cannot be reached by telephone, such medical treatment as deemed necessary by competent medical personnel is authorized.

I have read this release of liability and assumption of risk agreement, fully understand its terms and sign it freely and voluntarily without any inducement.

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