Medical Release and Authorization
As the parent and/or guardian of the named athlete, I hereby authorize a qualified and licensed medical professional to diagnose and treat the minor child in the event of a medical emergency. This authorization applies when, in the opinion of the attending medical professional, immediate care is necessary to prevent further endangerment of the child’s life, physical disfigurement, impairment, or significant pain, suffering, or discomfort that would result from delayed treatment.
I grant permission to the attending physician to proceed with any necessary medical or minor surgical treatment, x-ray examinations, or immunizations for the named athlete. In the event of a serious illness, major surgery, or significant accidental injury, I understand that every reasonable effort will be made to contact me as quickly as possible. This authorization is valid only after a reasonable attempt to reach me has been made.
I also grant permission to Jump Forward Inc. and its affiliates, including Directors, Coaches, and Team Parents, to provide necessary emergency care prior to the child’s admission to a medical facility.
This authorization applies for the dates and/or duration of the registered season.
This release is executed of my own free will and is intended solely to authorize emergency medical treatment for the named minor child, ensuring the protection of their life and well-being in my absence.