HLTC Summer XC Training Group



Medical Information
In an emergency when a parent/guardian cannot be reached, please contact:

PARENT/GUARDIAN APPROVAL AND MEDICAL RELEASE
Recognizing the possibility of injury in association with running cross country and in consideration of the Hunterdon Lions Track Club accepting the registrant for its cross country program and activities (the "Programs"), I hereby release, discharge and/or otherwise indemnify the Hunterdon Lions Track Club, its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the Programs against any claim by or on behalf of the registrant as a result of the registrant's participation in the Programs and/or being transported to or from the same, which transportation I hereby authorize.
My son/daughter has received a physical examination by a physician and has been found physically capable of participating in the Programs. I hereby give my consent to have an athletic trainer and/or doctor of medicine or dentistry provide my son/daughter with medical assistance and/or treatment and agree to be responsible financially for the cost of each assistance and/or treatment.

By typing your full name in the box below, you acknowledge that you have read, understood and agree to the terms and conditions outlined above.


 

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