Informed Consent/General Release
PLEASE READ CAREFULLY AND CHECK THE BOX BELOW TO INDICATE YOUR AGREEMENT.
By submitting this form, I understand that the program will have competent adult supervision and reasonable and appropriate measures will be made to minimize the risk of injury and/or accident.
I hereby grant my consent for staff members and/or adult volunteers under whose auspices the program is conducted, to secure all necessary emergency medical care and/or treatment that may be necessary for my child during the entire event including the trip to and from their destination, if provided by a staff member or adult volunteer. I further assume all responsibility for the decisions so made, and the emergency care or treatment so secured, in the event that I cannot be reached.
case of accident, injury or loss, neither my family nor I hold the place where
the event is conducted, the group sponsoring the event, nor any person or
affiliate organization associated with the event, responsible or liable. In
case of accident or serious illness, I request SES or its volunteers to contact
me or emergency contact provided above. If unable to reach me, I hereby
authorize SES or its volunteers to make whatever arrangements seem necessary. I
authorize EMERGENCY medical treatment to
be given to my child.