Medical Release and Authorization
As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s 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 named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.
Permission is also granted to CWBA & OWBL and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.
Release authorized on the dates and/or duration of the registered season.
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 life and limb of the named minor child, in my absence.
CWBA & OWBL encourages parents/guardians to remain near the field during the duration of the program.
This release(s) and indemnifies CWBA & OWBL and its directors, officers, partners, staff, employees, consultants, representatives, from any and all claims and liabilities whatsoever arising from participation in or attendance at one or more of CWBA & OWBL's current or future programs by the undersigned, the undersigned’s child(ren) or any associated spectator(s); the undersigned acknowledges that participation in CWBA & OWBL's programs involves a voluntary assumption of all the risks associated with the sports and games being played.
Permission is granted by the undersigned for CWBA & OWBL and its agents to use above named child's video and likeness for purpose of promotion by CWBA & OWBL in all forms, including but not limited to news releases, photographs, video, audio, marketing, advertising, trade, promotion, exhibition, for an indefinite period of time. The undersigned gives unrestricted permission for images, videos and recordings of the child to be used in print, digital and internet media. The undersigned acknowledges that there will be no compensation for the images usedand waives any right to inspect any printed or electronic copy. I hereby release CWBA & OWBL assigns of any claims that may arise from these uses.