I hereby give permission to the Teen Huddle and its designated Teen Huddle volunteers, and any other trained medical personnel to treat my child in a situation that requires medical attention. I authorize said volunteers to seek such medical advice, treatment, and services as they deem necessary, in their sole discretion, which may be necessitated because of any injury or illness suffered because of my child’s participation in the activities of the Teen Huddle.

I further agree to accept any financial responsibility for the care and treatment of such injuries or illnesses and for such further medical services which are required, even though all attempts to contact responsible parties have failed and there is urgency with respect to my child’s treatment, or in the case in which benefits of my health insurance have been depleted and additional medical expenses or loss of income occur.

I understand that any medication my child may need for severe allergies (including bee stings, food allergies), asthma or other such medical condition(s) must be brought with my child to the program

I have read the foregoing document in its entirety, fully understand the same, and freely and voluntarily sign my name to the medical release.