I understand that I will be notified in the case of a medical emergency involving my child. In the event that I cannot be reached, I authorize the calling of a doctor and the providing of necessary medical services in the event my child is injured or becomes ill. In case of an emergency, and if a family physician cannot be reached, I hereby authorize my child to be treated by Certified Emergency Personnel (i.e. EMT, First Responder, and/or Physician).
I understand that JACKSON YOUTH PROGRAM will not be responsible for the medical expenses incurred, and that such expenses will be my responsibility as parent/guardian.
I hereby give permission for my child to be photographed during JACKSON Youth Program actvities. I understand the photos will be used to keep a journal of activities, to share during power point presentations and/or reports to our donors and for promotional purposes including flyers, brochures, newspaper and on the internet. Childrens’ photos and quotes may be used for publicity purposes I understand that although my child’s photograph may be used for advertising, her identity will not be disclosed, I do not expect compensation and that all photos are the property of JACKSON Youth Program.
I am aware that JACKSON Youth Program and its co-organizers are not responsible for lost or damaged personal property.
Tearms of Agreement Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.