Please read this consent. You will sign it during drop-off (9 am) or pick-up (3 pm) on Thursday July 21st.
Informed Consent, Media Release and Acknowledgement:
I hereby give my approval for my child’s participation in any and all activities prepared by True Love Movement during the selected "summer experience". In exchange for the acceptance of said child’s candidacy by True Love Movement., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless True Love Movement and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected "summer experience" sessions.
In case of injury to said child, I hereby waive all claims against True Love Movement including all instructors and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event.
Medical Release and Authorization
As Parent and/or Guardian of your minor child, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.
Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.
Permission is also granted to True Love Movement and its affiliates including instructors and guests to provide the needed emergency treatment prior to the child’s admission to the medical facility.
Release authorized on the dates and/or duration of the "summer experience" sessions.
This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.
Please be advised that during True Love Movement's "summer experience" your child may be videoed, photographed or interviewed. With your consent, the video, photographs and/or interviews may be used for True Love Movement's website or social media. Please check your preference here:
☐ My child's image can be utilized for True Love Movement's website and/or social media account(s).
☐ My child's image can not be utilized for True Love Movement's website and/or social media account(s).