As Parent and/or Guardian of the named child(ren), I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.
Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.
Permission is also granted to the DJ GOT ME FIT, MANALPAN and its affiliates including staff to provide the needed emergency treatment prior to the child’s admission to the medical facility.
Release authorized on the dates and/or duration of the registered season.
This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.
I hereby give my approval for my child’s participation in any and all activities prepared by DJ GOT ME FIT, MANALPAN during their time at DJ GOT ME FIT, MANALAPAN. or on location with DJ GOT ME FIT, MANALPAN. In exchange for the acceptance of said child’s candidacy by DJ GOT ME FIT, MANALPAN, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless DJ GOT ME FIT, MANALPAN. . and all its respective staff and representatives from any and all liability for injuries and illness to said child arising out of traveling to, participating in, or returning from classes, rehearsals and performances.
In case of injury or illness to said child, I hereby waive all claims against DJ GOT ME FIT, MANALPAN including all coaches, staff, teachers, assistants, councelors and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all activities, including dance and gymnastics. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death. There is a risk of becoming ill that is inherent in all group activites. Some of these illnesses include, but are not limited to, the contraction of Covid-19.