Scribd Logo
Upload

Welcome to Scribd!

  • 7 views

    NFJPIA1516 LeadCon Waiver

    Uploaded by

    kotarobrother23
    This document is a waiver form for a child participating in the 1st NFJPIA Leadership Congress. It requests emergency contact information for the child as well as any medical information like allergies or existing ailments. The parent agrees to waive liability for the organizers of the event and grants them permission to authorize medical treatment for the child if needed. The parent also acknowledges responsibility for the child after the activity concludes.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    NFJPIA1516 LeadCon Waiver

    Uploaded by

    kotarobrother23
    7 views2 pages
    This document is a waiver form for a child participating in the 1st NFJPIA Leadership Congress. It requests emergency contact information for the child as well as any medical information like allergies or existing ailments. The parent agrees to waive liability for the organizers of the event and grants them permission to authorize medical treatment for the child if needed. The parent also acknowledges responsibility for the child after the activity concludes.

    Original Description:

    ABC

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is a waiver form for a child participating in the 1st NFJPIA Leadership Congress. It requests emergency contact information for the child as well as any medical information like allergies or existing ailments. The parent agrees to waive liability for the organizers of the event and grants them permission to authorize medical treatment for the child if needed. The parent also acknowledges responsibility for the child after the activity concludes.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    7 views2 pages

    NFJPIA1516 LeadCon Waiver

    Uploaded by

    kotarobrother23
    This document is a waiver form for a child participating in the 1st NFJPIA Leadership Congress. It requests emergency contact information for the child as well as any medical information like allergies or existing ailments. The parent agrees to waive liability for the organizers of the event and grants them permission to authorize medical treatment for the child if needed. The parent also acknowledges responsibility for the child after the activity concludes.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    1ST NFJPIA LEADERSHIP CONGRESS

    WAIVER

    NAME:
    ___________________________________________________________________________
    _________
    REGION

    &

    LOCAL

    CHAPTER:

    ___________________________________________________________
    EMERGENCY INFORMATION:
    CONTACT

    PERSON

    1:

    ______________________

    CONTACT

    NUMBER:

    2:

    ______________________

    CONTACT

    NUMBER:

    _______________________
    CONTACT

    PERSON

    _______________________
    MEDICAL INFORMATION:
    List all the ailments your child suffers from:
    ___________________________________________________________________________
    __________________
    List any medication your child might need:
    ___________________________________________________________________________
    __________________
    Indicate any allergies with certain medication:
    ___________________________________________________________________________
    __________________

    I take responsibility for my childs whereabouts after this activity.


    I agree to waive, release, indemnify and hold harmless the NFJPIA, its
    officers, members and all the organizers of this event from any claims of
    liability arising out of my childs participation in this activity. I also agree
    to waive that NFJPIA, its officers, advisers, members and all organizers of
    this event have responsibility to my child only within the premises of the
    venue.

    Should my child require medical attention as a result of accident or any


    serious illness, I do hereby grant and bestow upon the organizers of this
    event permission and authority for and on my behalf to authorize any
    licensed medical practitioner to render medical aid and treatment.
    CONFORME: _________________________________________
    ________________________________________
    Signature over Name

    Date

    You might also like