PARENTAL CONSENT AND MEDICAL AUTHORIZATION AND LIABILITY WAIVER Sample Clauses

PARENTAL CONSENT AND MEDICAL AUTHORIZATION AND LIABILITY WAIVER. I/We the parents/guardians of the above named player/cheerleader on an Orange Empire Conference (OEC and HBPWF) Pop Warner Team, with this give my/our approval to his/her participation in all OEC and/or HBPWF activities during the current season. I/We assume all risks and hazards incidental to such participation, including transportation to and from such activities. I/We do knowingly waive, release, absolve, indemnify, and voluntarily agree to hold harmless: Team, Huntington Beach Pop Warner Football organization and OEC, including sponsors and other related participants, for any claim out of injury to my/our child. I/We have been warned, clearly understand, and assume the physical dangers of participating in this contact sport and/or cheerleading stunts. I/We hereby acknowledge that these dangers clearly exist and my child could be seriously and grievously injured or killed. OEC has secondary excess accidental/medical group insurance coverage through the National Pop Warner Little Scholars program. This coverage is described in the flyer that I/We have been given. I/We have read the flyer and understand the provisions of the insurance provided by this program. In executing the foregoing release, I/We, the undersigned acknowledge and represent that I/We understand that any claim for injuries that arise out of my/our child’s participation, must be reported to the Team or HBPWF officials within 20 calendar days from the date of injury via appropriate claim forms. I/We have read the foregoing release, understand it, and signed it voluntarily. THE NAME OF OUR OWN AND/OR EMPLOYEMENT GROUP INSURANCE IS: In case of injury to my/our child, whose full name and birth date are correctly listed above, I/We with this grant authority to a qualified Doctor of Medicine to render such medical treatment as said Doctor of Medicine deems necessary under the circumstances. I/We have accurately completed this document, and have read & understand BOTH sides including, but not limited to, the NO REFUND policy AND THE LIABILITY WAIVER. I/We hereby voluntarily agree to the terms, conditions, stipulations, and policies contained or referred to herein. I/We agree that this instrument is the express intent of my/our agreement, superseding all others, verbal, written, or otherwise, regarding membership with HBPWF. [This instrument is to be read in conjunction with the document entitled "Statement of Understanding" and "Waiver of Liability Release".] X FATHER’S, MOTHER’S, OR LEGAL GUARD...
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Related to PARENTAL CONSENT AND MEDICAL AUTHORIZATION AND LIABILITY WAIVER

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