Medical Authorization. In the event of illness or injury while participating in the above referenced activity, I hereby consent to whatever x-ray, examination, anesthetic, medical, surgical, dental diagnosis or treatment, hospital care and emergency transportation from a licensed physician, surgeon, and/or dentist as deemed necessary for my safety and welfare.
Medical Authorization. If, in the opinion of a properly licensed and practicing physician, Student needs medical or surgical services which require Xxxxxx’s pre-authorization or consent, Parent hereby authorizes, appoints, and empowers the School to act as Parent and furnish such consent on Xxxxxx’s behalf. Parent confirms that it is Parent’s desire that Student be furnished with such medical or surgical services as soon as reasonably possible after the need arises. Parent hereby releases and holds the School harmless from any liability which might arise from the giving of such consent. Xxxxxx agrees to reimburse the School for any medical expenditure made on Student’s behalf.
Medical Authorization. USER agrees to obtain a signed Medical Authorization in a form the same or substantially the same as Exhibit “C,” attached hereto and made a part hereof, on behalf of every minor participant. USER represents and warrants that it has or will obtain a signed Medical Authorization on behalf of each minor participant before the start of the Program. USER agrees to provide FIU with fully executed Medical Authorization forms within a reasonable time when requested by FIU. USER indemnifies FIU and agrees to be responsible for any costs that FIU may incur for medical treatment sustained during the Program if USER fails to obtain a valid Medical Authorization form.
Medical Authorization. In case of a medical emergency, I understand that my child will be transported to the hospital by the local emergency unit for treatment if the local emergency resource (police, rescue squad, etc.) deems it necessary. The child will be transported at the expense of the parents/guardian. It is understood that in some medical situations the staff will need to contact the local emergency resource before the parent, child’s physician and/or other adult acting on the parent’s behalf. I hereby give permission to the DAYSPRING PRESCHOOL to take whatever emergency measures (first aid, disaster, etc.) are deemed necessary for the protection and care of my child while under the supervision of the school.
Medical Authorization. The employee is subject to his/her doctor stating said employee can return to work. The Employer reserves the right to require the employee to be examined on the employee's return to work by a doctor selected by the Employer which examination shall be paid for by the Employer, and subject to Article Sixteen (16).
Medical Authorization. In the event of an injury to the above minor during the above described activities, I give my permission to Xxx Xxxxxxx or to the employees, representatives or agents of Xxx Xxxxxxx to arrange for all necessary medical treatment for which I shall be financially responsible. This temporary authority will begin on the first date of attending Confidence Crew with Xxx Xxxxxxx and will remain in effect until terminated in writing by the undersigned or when the above described activities are completed. Xxx Xxxxxxx shall have the following powers:
Medical Authorization. CO-SPONSOR agrees to obtain a signed Medical Authorization in a form the same or substantially the same as Exhibit “B,” attached hereto and made a part hereof, on behalf of every minor participant. CO-SPONSOR represents and warrants that it has or will obtain a signed Medical Authorization on behalf of each minor participant before the start of the Program. CO-SPONSOR agrees to provide FIU with fully executed Medical Authorization forms within a reasonable time when requested by FIU. CO-SPONSOR indemnifies FIU and agrees to be responsible for any costs that FIU may incur for medical treatment sustained during the Program if CO-SPONSOR fails to obtain a valid Medical Authorization form.
Medical Authorization. I hereby: 1) authorize the Released Party to undertake any emergency medical care for me; 2) authorize the Released Party and/or their authorized personnel to call for medical care for me or to transport me to a medical facility or hospital if, in the opinion of such personnel, medical attention is needed; 3) agree that, following my transport to any such medical facility or hospital, the Released Party shall not have any further responsibility for me; 4) agree to pay all costs associated with the medical care, rescue, or any related transportation provided for me; and 5) shall hold the Released Party harmless from any claims associated with such medical care and/or related transportation.
Medical Authorization. I hereby: 1) authorize SMC to undertake any emergency medical care for me; 2) authorize SMC and/or their authorized personnel to call for medical care for me or to transport me to a medical facility or hospital if, in the opinion of such personnel, medical attention is needed; 3) agree that, following my transport to any such medical facility or hospital, SMC shall not have any further responsibility for me; 4) agree to pay all costs associated with the medical care, rescue, or any related transportation provided for me; and 5) shall hold SMC harmless from any claims associated with such medical care and/or related transportation.
Medical Authorization. Xxxxxx xxxxxx authorizes any medical treatment deemed necessary in the event of any injury incurred while participating in the activity. Renter either has appropriate insurance or, in its absence, agrees to pay all costs of rescue and/or medical services as may be incurred on Renter’s behalf. INDEMNIFICATION, HOLD HARMLESS AND DEFEND: THE UNDERSIGNED RENTERS SHALL FULLY INDEMNIFY, HOLD HARMLESS AND DEFEND BIG PAPA PONTOONS, LLC AND ITS HEIRS, EXECUTORS, MANAGERS, AGENTS, STAFF, VOLUNTEERS, SUCCESSORS, AFFILIATES, ADMINISTRATORS, ASSIGNS, AND REPRESENTATIVES FROM AND AGAINST ALL CLAIMS, DEMANDS, ACTIONS, SUITS, DAMAGES, LIABILITIES, LOSSES, SETTLEMENTS, JUDGMENTS, COSTS AND EXPENSES, INCLUDING, BUT NOT LIMITED TO, REASONABLE ATTORNEY’S FEES AND COSTS BROUGHT BY ANY THIRD PARTY THAT ARISES OUT OF OR RELATES TO ANY INJURY (INCLUDING DEATH), DAMAGE OR LOSS DUE TO ANY ACT OR OMISSION OF RENTER'S CONDUCT OR PARTICIPATION IN THE ACTIVITY, REGARDLESS OF BIG PAPA PONTOONS, LLC NEGLIGENCE. RELEASE OF LIABILITY: In consideration of services or property provided, Renter, for themselves and any minor children for whom they are a parent, legal guardian or otherwise responsible, any heirs, personal representatives or assigns, agree that: Big Papa Pontoons, LLC, its principals, directors, officers, agents, employees and volunteers, their insurers and each and every land owner, municipal and/or governmental agency upon whose property an activity is conducted (“owner”) and their insurers, if any, SHALL HAVE NO LIABILITY OF ANY NATURE FOR ANY AND ALL INJURY OR DAMAGE TO RENTER AND OTHER PERSONS OR PROPERTIES as a result of Xxxxxx’s participation in the activity. This Release includes any acts, omissions or negligence of the “owner”, the operator named above, or any other person (including myself or any entity, their agents, employees, joint ventures, servants, and their insurer(s) and Renter hereby releases and discharges the owner and operator named above, their employees, agents, servants or assigns and their insurer(s) if any, for any such damage.
