Authorization & Release of Liability

PARTICPATION AND SAFETY
I understand that participation in the program may involve strenuous and prolonged physical activity. I agree that my child is healthy and able to participate in the program activities. I understand that IAMBK or its representatives may request health information concerning my child and/or ask my child to undergo a medical exam. If IAMBK determines that my child does have a physical, mental or other condition that may affect his/her ability to safely and appropriately participate in program activities (or that may affect the ability of other children to participate safely), IAMBK may determine that my child cannot be permitted to participate. I understand and agree that, while the organization desires that all children will be able to participate, such decisions may have to be made out of concern for the best interests of my child and other participants.

CONSENT TO MEDICAL TREATMENT
In the event my child is injured or becomes ill in program activities, and if I, the parent or guardian of the above-named child, am not present to make medical decisions, I hereby authorize IAMBK, its staff, volunteers including volunteer parent participants, coaches, assistant coaches, and referees, supervisors and drivers, to arrange for and consent on my behalf to emergency medical and dental care and treatment, including tests and radiological exams, and surgery, and hospital care and treatment, and to consent to medications for pain and other conditions as prescribed by medical personnel attending my child. I am responsible for payment of any medical charges or expenses not covered by my insurance or the insurance applicable to my child (if any). My signature below indicates that all information provided in this form is true and accurate, and that I fully agree to all statements made on the form, including but not limited to the Authorization and Release of Liability, Medical Conditions, and Consent to Medical Treatment. My signature also indicates that all legal guardians are aware and consensual with the participation of the above-named child.