waiver_liability_medical_release_form

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Shared by: Jennifer Weber
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2008 Cardinal Warrior Sports Waiver and Liability Form Waiver of Liability: In and for the consideration of my son/daughter's participation in the Cardinal Warrior Speed and Strength Camp, I hereby agree and promise that I will not hold Cardinal Warrior Speed and Strength Camps, nor its employees responsible for any loss, damages, or personal injuries that he/she may receive as a result of participation. This waiver of liability expressly includes transportation to and from, or in connection with said camp, in any vehicle operated by Cardinal Warrior Speed and Strength Camp. _______________________________________________________________________________________________________ Parent / Guardian (Required) Date Drug and Alcohol Policy: To comply with the Cardinal Warrior Speed and Strength Camp rules, I adhere to the "Drugs, alcoholic beverages and tobacco are strictly forbidden and constitute, along with general misconduct, grounds for my immediate dismissal from camp without refund or credit." _______________________________________________________________________________________________________ Camper's Signature (required) Date Right to Use Likeness Release: The undersigned hereby agrees to release the right to use their likeness in future camp related promotional materials to Stanford Athletics. If subject of photo is under 18 years of age signature of guardian is required. _______________________________________________________________________________________________________ Signature Date 2008 Cardinal Warrior Sports Physicain's Authorization and Insurance Information Form NOTE: THIS FORM MUST BE COMPLETELY FILLED OUT AND ON FILE WITH THE CAMP TRAINER IN ORDER FOR YOU TO PARTICIPATE AT CAMP. Name: Address: City: State: Zip: Age: Height: I have given my son/daughter permission to participate in Cardinal Warrior Speed and Strength Camp and certify that he is in good health and can take part in all normal camp activities. If any injury occurs, I authorize the camp staff members to take proper action and use the emergency service available at the nearest hospital, If necessary. I understand my personal insurance will be used in this case (the proper calls will be made to you before any medical attention is given). In case of extreme emergency, I authorize the emergency personnel to take proper action. Signed (parent or guardian): Insurance Co.: Daytime Phone: Policy Number: Insurance Co. Phone: Date: PHYSICIAN'S AUTHORIZATION I have examined ___________________________________________________ and he/ she is in good health to paricipate in all cam activities Signed_______________________________________________________________________Date_____________________ Any special things we should know (allergies to medication, medications being given, bee sting kits, etc. ):

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