Medical Emergency Authorization
In the event of an accident, injury, illness, or medical emergency during participation in the Programs, I authorize Forest Aroma Wellness LLC, its facilitators, volunteers, representatives, or emergency personnel to obtain or arrange appropriate medical care on my behalf if I am unable to do so. I understand that reasonable efforts will be made to contact my designated emergency contact; however, emergency medical care may be sought without prior contact if circumstances require immediate action. I acknowledge and agree that I am solely responsible for any medical expenses, transportation costs, or other charges incurred as a result of emergency care or treatment. I release and hold harmless Forest Aroma Wellness LLC and its representatives from liability arising out of decisions made in good faith regarding emergency medical assistance.
Relevant Allergies, Medical Conditions, or Emergency Information (optional):
Electronic Signature & Agreement
Participant Signature:
Printed Name:
Date:
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Month
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Day
Year
Date
Parent/Guardian Signature (if under 18):
Relationship to Minor:
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