Medical Consent Form

 

I/we the parents and/or guardians of 

Immersion Program, LLC and its owners, managers and employees full authority to take whatever actions they deem necessary regarding my child’s health and safety in the event I cannot be reached. I agree to hold harmless Children’s Language Immersion Program, LLC, and its owners, managers its employees from any and all liability in connection with those decisions. I grant emergency treatment by a rescue squad, private physician and/or hospital or emergency health care facility staff if needed. Any such action will be taken in the best interest of my child and will be reported to me as soon as possible. 

 

I HAVE READ AND UNDERSTAND THIS MEDICAL CONSENT FORM AND SIGN VOLUNTARILY AND ENTIRELY OF MY OWN FREE WILL. 

hereby grant Children’s Language

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Download a PDF copy CLIP's Medical Consent Form

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