Terms and conditions

Participant's under 18

My son/daughter has permission to engage in all Leadership Lab activities. In the event of an urgent medical matter, if I cannot be reached, I hereby give permission to the Leadership Lab official and/or his/her designee to secure and authorize in my absence Uany and all medical treatmentU he/she deems necessary, including but not limited to Emergency Department treatment, laboratory tests, radiological tests/procedures, intravenous fluids, medications, physician services, and/or surgical procedures, for my child named above. In addition, I give my permission for the Leadership Lab official and/or his/her designee to exchange information regarding my child’s medical history and current medical/health status with the physician and medical facility staff.


Participant's over 18

I accept responsibility for my physical well being while attending leadership lab activities. In the event of an urgent medicalmatter, if I cannot consent for myself, J hereby give permission to the leadership lab official and/or his/her designee to secure and authorize any and all medical treatmenthe/she deems necessary. including but not limited to Emergency Department treatment, laboratory tests, radiological tests/procedures, intravenous fluids. medications.physician services. and/or surgical procedures, for me. I give my permission for the leadership lab official and/or his/her designee to exchange information regarding mymedical history. current medical/health status. test results and treatment with the physician and/or medical facility staff. In addition, I give my permission for theleadership lab official, his/her designee. the physician and/or the medical facility staff to exchange information with my emergency contact(s) listed above regarding mytest results. treatment and health status. I also give permission to share any medical information with the emergency contacts listed above.