The signed participant has my permission to participate in this program. I understand and accept the condition that neither Medfield public schools, Warrior Industries, LLC, coaches, or the site owner will assume responsibility for medical and dental expenses incurred as a result of participation in this clinic. I also confirm that the participant has personal medical insurance coverage and that any expenses incurred while at the clinic is my responsibility. In case of an emergency, I understand that every attempt will be made to contact the person listed. If contact is unsuccessful, I give permission to the attending medical personnel to render medical treatment to the participant. Typing in your name constitutes your agreement to aforementioned waiver.
