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Youth Sailing Notices and Discussion

Medical Release  -  Posted By: SRD <ed@cscsailing.org>
Date: Monday, 19 September 2005, at 10:37 a.m.

In Response To: CRESSY SEISA ELIMINATIONS 10/15-16/ 2005 HYC (SRD)


PERMISSION FOR MEDICAL CARE

In race instances a medical emergency arises in which consent by the parent or guardian is legally required, but the proper person cannot be located. In such circumstances, in order to avoid delay which might jeopardize the life of recovery of a student, we request the following permission from the parent or guardian, with the understanding that every effort will be made to contact them in an emergency.

I hereby grant permission to the Regatta Chairperson, an Emergency Medical Technician, and/or other physicians he/she considers appropriate, to give emergency care as necessary.

I HAVE CAREFULLY RED THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE LIABLITY AND WAIVER OF CLAMIS AND SIGH IT OF MY FREE WILL.

Signature of participant:________________________________________ Date:_______

Signature of Parent or Guardian:__________________________________Date:_______

Contact Phone Numbers:__________________________________________

Emergency Number:_____________________________________________

Name and Phone Number of Adult Chaperone during the Cressy Cup Eliminations:

_____________________________________


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