Two Bridges Music Program General First Aid Authorization and Consent of Parent(s) or Legal Guardians
I, the parent/guardian, grant my authorization and consent for Two Bridges Neighborhood Council (“Two Bridges” or “TBNC”) staff (hereafter "Designated Adult") to administer general first aid treatment for any minor injuries or illnesses experienced by my child, a minor and participant of TBNC Music Program.
If the injury or illness is life threatening or in need of emergency treatment, I authorize the Designated Adult to summon any and all professional emergency personnel to attend, transport, and treat the minor and to issue consent for any X-Ray, anesthetic, blood transfusion, medication, or other medical diagnosis, treatment, or hospital care deemed advisable by, and to be rendered under the general supervision of, any licensed physician, surgeon, dentist, hospital, or other medical professional or institution duly licensed to practice in the state in which such treatment is to occur. I agree to assume financial responsibility for all expenses of such care. It is understood that this authorization is given in advance of any such medical treatment, but is given to provide authority and power on the part of the Designated Adult in the exercise of his or her best judgement upon the advice of any such medical or emergency personnel.
I hereby agree to waive, hold harmless, and defend TBNC; Two Bridgeset Associates, LP; Two Bridgeset Towers, Inc.; Two Bridges-Settlement Housing Corporation; 2BT Housing Development Fund Corporation; and Settlement Housing Fund, Inc. and all of their owners, partners, affiliates, shareholders, members, officers, directors, employees; independent contractors; and volunteers from any liability or damages for personal injury to my child which may arise in connection with such first aid treatment.
I HAVE CAREFULLY READ THIS CONSENT, RELEASE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT AND AGREE TO AND UNDERSTAND ITS TERMS AND CONTENT. I AM AWARE THAT IT IS A FULL RELEASE OF ALL LIABILITY AND SIGN OF MY OWN FREE WILL.