Medical Consent and Release of Liability (Valid Through 2016-17):
I authorize the directors, teachers, employees, agents and volunteers of NWCT as agents for the undersigned to consent to medical treatment in an emergency. I hereby release and discharge NWCT, its directors, teachers, employees, agents and volunteers from any and all claims due to negligence resulting in personal injury, beyond any available insurance coverage.
I agree that photographs of my child/children taken by NWCT may be used for promotional purposes including brochures, advertising, and the NWCT website by NWCT, but will not be used by other organizations without additional written consent.
Please list all allergies, medications, special needs and/or medical conditions for each child you are registering. (Please identify which note goes with which child) :
The following individuals are authorized to pick up my child (All persons including yourself - Limit 5. Please use commas to separate.):