Latina Leads Women Edition - Taller para mujeres

Health and Emergency Information

Informed Consent and Acknowledgement

I hereby give my approval for my participation in any and all activities prepared by Latina Leads during the Workshop. In exchange for the acceptance of said candidacy by Latina Leads, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Latina Leads and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said, I hereby waive all claims against Latina Leads including all coaches 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 sports activities. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Medical Release and Authorization

As a participant, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of 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 participant. In the event of an emergency arising from serious illness, the need for major surgery, or significant accidental injury, I understand that the attending physician will make every attempt to contact me as expeditiously as possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to the Latina Leads and its affiliates, including Directors and Coaches, to provide the needed emergency treatment before the participant's admission to the medical facility.

Release authorized on the dates and/or duration of the registered camp.

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 the life and limb of the participant, in my absence.

Photo Release

The organization regularly takes photographs, audio recordings and videos of participating children and retains all rights, title and interest therein. The organization takes care that use, display, and dissemination of these materials are accomplished in a thoughtful and safe manner. They may be shared with participants and sponsors in a variety of ways: on our websites, via email, through their Latina Leads social media accounts, and posting at the event location. In addition, they may be used by Latina Leads, Eli Dib Caiazzo or Maria Alejandra Bastidas for general business and marketing purposes, including online. By signing below, you give permission for the organization to take photographs, audio recordings, and videos of the participant and to use them as described above. If you have questions or concerns regarding the use of materials featuring the participant publicly, please contact info@mariaalejandrabastidas.com

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.