Medical Release and Authorization
As the student (or parent and/or Guardian of the named student if they are under 18), 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 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 myself (or the student named above) if I (or parents) are unable to make decisions. 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 confer with me (or contact parents) in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to communicate with me or reach parent/guardian.
Permission is also granted to Maryland Entertainment Group, Inc. and its affiliates including directors and instructors to provide the needed emergency treatment prior to the any 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 myself (the named minor child, in my absence.)