CONSENT
TO MEDICAL TREATMENT OF A MINOR
I grant my
authorization and consent for any Supervising Adult to administer general first
aid treatment for any minor injuries or illnesses experienced by the Player. If
the injury or illness is life threatening or in need of emergency treatment I
authorize the Supervising Adult to summon any and all professional emergency
personnel to attend, transport, and treat the participant and to issue consent
for any X-Ray, anesthetic, blood transfusion, medication, or other medical
diagnosis, treatment, or hospital care deemed advisable by, and to be rendered
under the general supervision of, any physician, surgeon, dentist, hospital, or
other medical professional or institution.
I agree to be
responsible for any and all costs resulting from medical attention and/or
treatment and I hereby release, discharge, covenant not to sue, and agree to
indemnify and save and hold harmless all coaches, medical and training staff
and personnel, agents, volunteers, officers, directors, and other participants
from all liability, claims demands, losses or damages on Player’s account, It
is understood that this authorization is given in advance of any such medical
treatment, but is given to provide authority and power on the part of the
Supervising Adult in the exercise of his or her best judgment upon the advice
of any such medical or emergency personnel.
The Consent to Medical Treatment of a Minor is effective at the time of
consent by my signature.
