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Medical Release and Liability Form

Georgia High Schools | State Step Championship | MEDICAL RELEASE AND LIABILITY FORM

Medical Release:
I, (Parent/Guardian) and on behalf of Minor, acknowledge and agree that such participation subjects Minor to possibility of physical illness or injury (minimal, serious, catastrophic and/or death) and that I, (Parent/Guardian) and on behalf of Minor, acknowledge that Minor is assuming the risk of such illness or injury by participating in the competition. In the event of such illness or injury, I, (Parent/Guardian) authorize Georgia High Schools State Step Championship to obtain necessary medical treatment for Minor. I, (Parent/Guardian), I also agree to indemnify and hold Georgia High Schools State Step Championship, GHSSSC, from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney's fees brought as a result of my involvement in the competition and to reimburse them for any such expenses incurred.

I represent that any medication to which Minor is allergic or medications that Minor is currently taking are listed below. I agree that Minor shall bring medications which Minor is currently taking with him/her to the competition and that he/she shall consume the prescribed dosage for such medications.

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Georgia High Schools
STATE STEP CHAMPIONSHIP
P.O. Box 373431
Decatur, Georgia 30037
T: 678-871-0772 | E: info@ghsssc.org

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