PERSONAL MEDICAL INSURANCE. I understand that neither the NSHE nor UNLV will provide health insurance coverage to me during any aspect of my participation in the Activity. I further acknowledge that I am responsible for the cost of any and all medical and health services I may require as a result of participating in the Activity.
PERSONAL MEDICAL INSURANCE. I/we agree to maintain during the term of the Program personal medical insurance for Participant. If Participant does not have insurance, I/we will assume full responsibility for payment of expenses incurred in the event of injury to Participant.
PERSONAL MEDICAL INSURANCE. I agree to purchase and maintain during the term of the Activity personal medical insurance. I further acknowledge that I am responsible for the cost of any and all medical and health services I may require either directly or not directly related to my participation in the Activity. Initial ____________
PERSONAL MEDICAL INSURANCE. I further acknowledge that I am responsible for the cost of any and all medical and health services I may require as a result of participating in the Activity.
PERSONAL MEDICAL INSURANCE. I understand that neither the NSHE nor UNR will provide health insurance coverage to me during any aspect of my participation in the Fitness and Recreational Sports Activity. I further acknowledge that I am responsible for the cost of any and all medical and health services I may require as a result of participating in the Fitness and Recreational Sports Activity. I hereby acknowledge that I have read this entire document, that I understand its terms, that by signing it I am giving up substantial legal rights I might otherwise have, and that I have signed it knowingly and voluntarily.
PERSONAL MEDICAL INSURANCE. I acknowledge that while participating in this event medical insurance coverage is not being provided for me by Tennessee Wesleyan University. I further acknowledge that I am responsible for the cost of any and all medical and health services I may require as a result of my participation in this event.
PERSONAL MEDICAL INSURANCE. I agree to purchase and maintain during the term of the internship personal medical insurance for myself/my minor child. I further acknowledge that I am responsible for the cost of any and all medical and health services I/my minor child may require as a result of participating in the internship.
PERSONAL MEDICAL INSURANCE. I understand that neither the Xxx Xxxxxxx’x LLC, NSHE, nor UNR will provide health insurance coverage to me during any aspect of my participation in the Activity. I further acknowledge that I am responsible for the cost of any and all medical and health services I may require as a result of participating in the Activity.
PERSONAL MEDICAL INSURANCE. I agree to purchase and maintain during the term of the Program personal medical insurance for myself/my minor child. I further acknowledge that I am responsible for the cost of any and all medical and health services I/my minor child may require as a result of participating in the Program. CERTIFICATION OF FITNESS TO PARTICIPATE: I attest that I/my minor child am physically and mentally fit to participate in the Program and that I/my minor child do not have any medical record of history that could be aggravated by my/my minor child’s participation in the Program. MEDICAL CONSENT: I understand and agree that Releasees may not have medical personnel available at the location of the Program or off-site Program event. In the event of any medical emergency, I (initial one) do _ do not authorize and consent to any x-ray examination, anesthetic, medical, dental or surgical diagnosis or treatment, and hospital care that Queens University of Charlotte personnel deem necessary for my/my minor child’s safety and protection. I understand and agree that Releasees assume no responsibility for any injury or damage which might arise out of or in connection with such authorized emergency medical treatment. CHOICE OF LAW: I hereby agree that this Agreement shall be construed in accordance with the laws of the State of North Carolina. OPTIONAL: I understand that I may seek legal counsel of my own choosing to fully explain any terms of this Agreement to me before I sign it.
PERSONAL MEDICAL INSURANCE. I agree to purchase and maintain during the term of the Kick-start Entrepreneurship Camp personal medical insurance. I further acknowledge that I am responsible for the cost of any and all medical and health services I (or my minor child) may require as a result of participating in the Kick-start Entrepreneurship Camp.
