We gather this information to ensure that in the event of an emergency, we have all of the relevant information to best support your health and wellbeing.
In the event of accident or injury to myself, my spouse or any child of mine (specifically including my child named above as "Future Stages Participant") or in the event of illness of myself, my spouse or any child of mine while on or about the premises of the Theatre Royal (Host Organisation) while participating in an event under the auspices of the Host where I am unable to consent or am not present:
1. I hereby voluntarily consent to the furnishing to myself, my spouse or any child of mine of such medical care and treatment by any hospital or physician(s) as the hospital or physician(s) deem necessary or advisable.
2. I authorise any officer or member of the Host to consent to such medical care or treatment.
3. I hereby authorize any x-ray examination, anesthetic, medical or surgical diagnosis or procedure supervised by any member of the medical staff or of a dentist licensed under the State Education Law and/or Public Health Law of the State and of the staff of any hospital holding a current operating certificate issued by the State Department of Health. This authorization is given in advance of any specific diagnosis, treatment or hospital care being required in order to provide authority to render care, which the aforementioned physician in his best judgment may deem advisable. Effort shall be made to contact me before rendering treatment to the patient, but any of the above treatment will not be withheld if I cannot be reached.