Consent to Medical Treatment and Release Sample Clauses

Consent to Medical Treatment and Release. CMS in no way insures, guarantees, or otherwise maintains responsibility for any medical treatment the Student may require during his participation in the Athletics Program. I have provided all requested medical and insurance information and have signed the required Medical Authorization and Release forms.
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Consent to Medical Treatment and Release. Participant and Participant’s parent/guardian need to be aware that sports activities involve the risk of injury. When an athlete practices, plays, or participates in any sport, the activity can be dangerous. Instruction given by coaches regarding playing techniques, training, and team rules must be followed. Participant and/or Participant’s parent/guardian certifies that Participant has no health conditions or defects that would prevent his/her participation on TI. Participant and/or Participant’s parent/guardian also consents that the Releasees may, but have no duty, to provide Participant, through personnel of their choice, assistance, transportation, and/or emergency medical services in the event Participant sustains any injury while participating in TI activities. Recognizing that as a result of TI participation, medical treatment on an emergency basis may be necessary and that TI personnel may be unable to contact Participant’s parent/guardian for his/her consent for emergency medical care, Participant’s parent/guardian hereby consents in advance to such emergency medical care, including tests, X-rays, and/or hospital care as may be deemed necessary under the then existing circumstances. Participant’s parent/guardian further understands that s/he will be responsible for payment of any medical care and/or medical expenses if Participant is injured and subsequently treated while participating in TI activities. Participant’s preferred hospital and insurance coverage relating to Participant is delineated below: Participant’s Preferred Hospital: Parent/Guardian Insurance Information: Agreed to and Accepted: I hereby represent that if this form is not signed by my parent or guardian, I am eighteen (18) years of age or older. Participant’s Name (print): Participant’s Signature: Date: The following must be completed if Participant is under 18 years old: In consideration of Participant’s participation on TI, I, by my signature below, and in my capacity as Participant’s parent or legal guardian, hereby (a) give permission for Participant, who is my child or xxxx, to participate voluntarily on TI; and (b) acknowledge and agree to all of the terms set forth in this Waiver and Release Form. Parent’s/Guardian’s Name (print):
Consent to Medical Treatment and Release. I understand that CMS in no way insures, guarantees, or otherwise maintains responsibility for any medical treatment the Student may require during his/her participation in the Activities. By signing this Agreement, I acknowledge that I have provided all requested medical and insurance information and have signed the required Medical Authorization and Release forms.
Consent to Medical Treatment and Release. The School in no way insures, guarantees, or otherwise maintains responsibility for any medical treatment the Participant may require during his/her participation in the Program. I have provided all requested medical and insurance information and have signed the Crossroads Academy School Health Information and submitted it to Xxxxx Xxxxx, Summer Program Coordinator.

Related to Consent to Medical Treatment and Release

  • Consent to Medical Treatment 1. I authorize the School District and my child’s custodian to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment or hospital care which is deemed advisable by and is rendered under the general supervision of any licensed physician or surgeon, whether such treatment or diagnosis is rendered at the office of such physician or at a hospital.

  • Consent to Transportation and Medical Treatment I consent to the use of first aid treatment and the use of generic and over-the-counter medications and treatments as directed by manufacturer labels, whether administered by the Released Parties or first aid personnel. In an emergency, I understand the Released Parties may try to contact the individual listed below as an emergency contact. If an emergency contact cannot be reached promptly, I hereby authorize the Released Parties to act as an agent for me to consent to any examination, testing, x-rays, medical, dental or surgical treatment for me as advised by a physician, dentist or other health care provider. This includes, but is not limited to, my assessment, evaluation, medical care and treatment, anesthesia, hospitalization, or other health care treatment or procedure as advised by a physician, dentist or other health care provider. I also authorize the Released Parties to arrange for transportation of me as deemed necessary and appropriate in their discretion. I, the Volunteer, do hereby release, forever discharge and hold harmless the Released Parties from any liability, claim, demand, and action whatsoever brought by me or on my behalf which arises or may hereafter arise on account of any transportation, first aid, assessment, care, treatment, response or service rendered in connection with my Activities with any of the Released Parties. If the Volunteer is less than 18 years of age, the parent(s) having legal custody and/or the legal guardian(s) of the Volunteer also hereby release, forever discharge and hold harmless the Released Parties from any liability, claim, demand and action whatsoever brought by such volunteer or on his/her behalf which arises or may hereafter arise on account of the decision by any representative or agent of the Released Parties to exercise the power to transport, administer first aid, and consent to assessment, examination, x-rays, medical, dental, surgical or other such health care treatment as set forth in the Parental Authorization for Treatment of, and Travel With, a Minor Child.

  • National Treatment and Non-Discrimination 1. With respect to all laws, regulations, procedures and practices regarding government procurement covered by this Chapter, each Party shall provide immediately and unconditionally to the goods, services and suppliers of another Party a treatment no less favourable than that accorded by it to domestic goods, services and suppliers.

  • Medical Treatment Undersigned understands that the Released Parties do not have medical personnel available at the location of the activities. Undersigned hereby grants the Released Parties permission to administer first aid or to authorize emergency medical treatment, if necessary. Undersigned understands and agrees that any such action by the Released Parties shall be subject to the terms of this agreement and release, including any liability arising from the negligence of the Released Parties when administering first aid or authorizing others to do so. Undersigned understands and agrees that the Released Parties do not assume responsibility for any injury or damage which might arise out of or in connection with such authorized emergency medical treatment.

  • Emergency Medical Treatment I grant the Releasees permission to authorize emergency medical treatment as they deem appropriate, and agree that such action by the Releasees shall be subject to the terms of this Agreement. I understand and agree that the Releasees assume no responsibility for any injury or damage that might result from such emergency medical treatment.

  • Confidential Treatment The parties hereto understand that any information or recommendation supplied by the Sub-Adviser in connection with the performance of its obligations hereunder is to be regarded as confidential and for use only by the Investment Manager, the Company or such persons the Investment Manager may designate in connection with the Fund. The parties also understand that any information supplied to the Sub-Adviser in connection with the performance of its obligations hereunder, particularly, but not limited to, any list of securities which may not be bought or sold for the Fund, is to be regarded as confidential and for use only by the Sub-Adviser in connection with its obligation to provide investment advice and other services to the Fund.

  • Consent to Treatment The Boys Town Behavioral Health Clinic works with children and their families to identify and treat such issues as depression, anxiety, school problems, and ADHD. The Behavioral Health Clinic offers specialized services, including behavioral and psychological assessments as well as counseling. I, knowing that the client has a condition requiring diagnosis and treatment, do hereby voluntarily consent to such treatment by the Behavioral Health Clinic staff, assistants, or designees as is, in their judgment, necessary. I further acknowledge that no guarantees have been made to me as to the results of treatment. I authorize you to provide reasonable and proper care by today’s standards. If applicable, I have informed my treating provider of my mental health advance directives and have provided a copy for mental health decision-making that will become part of my treatment record. CONTACT BY TELEPHONE and EMAIL‌

  • CONFIDENTIAL TREATMENT REQUESTED Confidential portions of this document have been redacted and have been separately filed with the Commission.

  • National Treatment and Most-favoured-nation Provisions (1) Neither Contracting Party shall in its territory subject investments or returns of nationals or companies of the other Contracting Party to treatment less favourable than that which it accords to investments or returns of its own nationals or companies or to investments or returns of nationals or companies of any third State.

  • National Treatment and Most-favoured-nation Treatment (1) Each Contracting Party shall accord to investments of investors of the other Contracting Party, treatment which shall not be less favourable than that accorded either to investments of its own or investments of investors of any third State.

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