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SMNetwork Archives / Emergency Forms
« on: May 26, 2006, 09:08 pm »Quote from: "sam_the_man"
I would Add the following::Code: [Select]Emergency contact
(This information is required for consent to medical treatment in cases where you are unable to give consent)
Name: __________________________________
Home Phone: (__)_________________ Work Phone: (__)_________________ Mobile: (__)___________________
Relationship:_______________________
If the above mentioned person is unreachable, if you wish for INSERT SM'S NAME HERE to be allowed to give consent, please sign the statement below:
I _________________________ do hereby give my consent to INSERT SM'S NAME HERE to secure and authorize any such emergency medical treatment, as the above name might require while at a Rehearsal and (or) Performance where INSERT SM'S NAME HERE is present and acting under the title of Stage Manager, during _____________________________ production, and produced by ____________________. I also agree to pay all the costs and fees that may accrue with emergency medical care or treatment that is authorized by Sam Mackey. I release, absolve, and indemnify INSERT SM'S NAME HERE from all risk and hazards associated with the activities and in the event of injury, do expressly wave all clams against INSERT SM'S NAME HERE.
SIGNATURE _______________________________________________________________ DATE __________
(IF UNDER 18, PARENTAL / LEAGAL GUARIDAN SIGNATURE)
SIGNATURE OF MINOR________________________________________________
It just states that they cant sue you if you make a medical choice that they dont agree with later on. I copyed it from an actor contract from a past show that was produced by a major town goverment, so I *think* it could stand up in a court of law. But I am NOT SURE!
(There are major spelling probs. in the above)
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