Informed Consent & Acknowledgement: I hereby give my approval for my child’s participation in any and all activities prepared by Linden Tree. In exchange for the acceptance of said child(ren)’s candidacy by Linden Tree, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Linden Tree and all its respective officers, agents, and representatives from any and all liability for injuries to said child(ren) arising out of traveling to, participating in, or returning from selected activities.
In case of injury to said child(ren), I hereby waive all claims against Linden Tree, including all Facilitators, aides, staff, volunteers and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all activities.
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Please fill out your name as consent for Informed Consent & Acknowledgement.
Medical Release and Authorization: As Parent/Guardian of the named child(ren), I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child(ren), in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.
Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me, or any listed emergency contacts, in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.
Permission is also granted to Linden Tree and its affiliates including Directors, Facilitators, Aides, Staff, and Volunteer Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.
Release authorized on the dates and/or duration of the registered term/year.
This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child(ren), in my absence.
Please fill out your name as consent to Medical Release and Authorization.
Liability: I am a parent or legal guardian of the registered who is currently under the age of 18, grant permission for the registered child(ren) to attend Linden Tree and consent to its Discipline Policy and also do hereby release Linden Tree from any and all liability or responsibility due to any injury that he/she/I may incur as the result of, or arising in any way from participation in activities at or under the direction of Linden Tree. I am fully aware and consent to accept these risks and voluntarily agree to allow his/her participation in activities. If I cannot be consulted in an emergency, I hereby give permission to the physician selected by a representative of Linden Tree to hospitalize, secure treatment for, and to order injections, anesthesia, and/or surgery for the person named above. I understand that Linden Tree carries insurance but that I will take primary responsibility for any fees or charges at any clinic, facility, or hospital arising from treatment of injury or illness.
Please fill out your name as consent to Liability.
Photo/Video Release: I understand Linden Tree often takes photographs or videos of child(ren) during its program activities or events. I grant permission without compensation that these photographs or videos may be used in publications, presentations, websites or promotion of Linden Tree. Linden Tree will not identify me or my child(ren) by name, or release any other personal information without additional written permission from me.
Please fill out your name as consent for Photo/Video Release.