MEDICAL CONSENT TO WHOM IT MAY CONCERN: This is to certify that I, as the parent or guardian of ______________________________________ a participant at the WWII Living History Event held at the Hard Rock Cycle Park, I hereby grant permission to the adult acting as my Guardian for this event to obtain medical care, at my expense, from any licensed physician, hospital, or medical clinic, for the participant named herein at such time as either parent or legal guardian cannot be contacted in person or by telephone. This authorization shall include all activities, including the period required to travel to and from those activities; and we do hereby waive, release, absolve, indemnify, and agree to hold harmless the Hard Rock Cycle Park; WW 2 Historical Association. of Fl, the organizers, supervisors, participants; volunteers and persons transporting the participant to and from those activities, for and all claims arising out of an injury to the participant. Minor must be in presence with parent or Guardian throughout event. Signed:___________________________________________ Date:_________________ Print name of above Signature:_______________________________________________ Relationship to Participant:__________________________________________________ Witness:_________________________________________________________________ |
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