Permission and Medical Release Form
Please fill out this form with accurate and complete details.
Participant Information
Parent/Guardian Information
Medical Information
Consent and Release
I, the undersigned, hereby grant permission for my child to participate in the program hosted by [Your Company Name]. I understand that while all reasonable precautions will be taken to ensure the safety of participants, I release [Your Company Name] from liability for any injuries or damages that may occur. I authorize medical treatment to be provided to my child in the event of an emergency and understand that I will be responsible for any associated costs.
I further acknowledge and agree that this permission and medical release form may be signed electronically, and that such electronic signature will be treated as if it were an original signature, carrying the same legal weight and effect. By signing below, I confirm that I have read, understood, and accept the terms of this release.
Participant Name: Date: | Parent/Guardian
Name: Date: |
Release Form Templates @ Template.net
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