Common use of Medical Release Clause in Contracts

Medical Release. As parent and/or legal guardian of Minor, I hereby give consent and authorize said Program, the University and its agents, representatives and employees to secure emergency medical treatment, or to administer the use of an epi-pen, basic first aid or to ensure that medications have been taken as prescribed for Minor while Minor is in attendance at the Program held at the University and that I am responsible for any and all costs associated with the transportation and treatment. I certify that if my child has any special medical considerations, including food or other allergies, that I have specifically communicated those in writing to the Mentor of the Program. Initials: _____

Medical Release. As parent and/or legal guardian of MinorYouth, I hereby give consent and authorize said Program, the University and its agents, representatives and employees to secure emergency medical treatment, or to administer the use of an epi-pen, basic first aid or to ensure that medications have been taken as prescribed for Minor Youth while Minor Youth is in attendance at the Program held at the University and that I am responsible for any and all costs associated with the transportation and treatment. I certify that if my child has any special medical considerations, including food or other allergies, that I have specifically communicated those in writing to the Mentor of the Program. Initials: _____:

Medical Release. As parent and/or legal guardian of MinorYouth, I hereby give consent and authorize said Program, the University and its agents, representatives and employees to secure emergency medical treatment, or to administer the use of an epi-pen, basic first aid or to ensure that medications have been taken as prescribed for Minor Youth while Minor is Youthis in attendance at the Program held at the University and that I am responsible for any and all costs associated with the transportation and treatment. I certify that if my child has any special medical considerations, including food or other allergies, that I have specifically communicated those in writing to the Mentor of the Program. Initials: _____: