3YC: Minor Waiver and Consent Forms

[Donna Hrynkiw]

Greetings to everyone from Mistress Elizabeth Braidwood, e-mail and
Internet flunky for the Thirty Year Celebration. In the interest of
avoiding any unhappy discoveries at the Arrival Gate at 3YC, I am flooding
the online SCA community with the Minor's Waiver and Medical Authorization
forms. Thank-you for your tolerance. Please feel free to forward, copy,
and re-distribute these forms as needed.

E.B.                                  sca30yr at kwantlen.bc.ca
donna at kwantlen.bc.ca                  http://chev.ucs.orst.edu/~antir/3yc
= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =

[From The Progress, Issue #5]

REQUIRED PAPERWORK FOR MINORS TO ATTEND THE THIRTY YEAR CELEBRATION

Everyone under the age of 18 attending without their legal guardian will
be required to have the following forms properly filled out and -NOTARIZED-
(Witnessed by a Notary Public) in order to get through the gate at Thirty
Year Celebration. Please inform any minors you know who wish to attend
that they *must* have this paperwork.

Minor Waiver: This form needs to be signed by both the parent (or 
court-appointed legal guardian) and by the child, if the child has attained
the age of 13 and/or is capable of understanding the nature of the waiver.
The form must be turned in at the gate at 3YC.

Medical Authorization Form: This form needs to be signed by the parent
(or the court-appointed legal guardian). It designates one or two adults,
who will be on site at 3YC, as someone who can consent to major medical
treatment for the child, in the event that the parent cannot be contacted.
This form must be on the person of the child at all times. It is strongly
recommended that you prepare duplicate originals of this form in case
one gets lost. Should you need any more information on any of these
matters, please do not hesitate to contact me.

The Honourable Eric de Dragonslaire
mka: Eric Bosley
514 Mitchell Rd.
Port Orchard WA, USA 98366
phone: 360-876-2728 (home)

= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =
PLEASE NOTE: The text of these forms must NOT be modified or changed
in any way. This is EXTREMELY IMPORTANT.
= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =


MINOR'S CONSENT TO PARTICIPATE AND HOLD HARMLESS AGREEMENT


______________________________________________________________
		Print Minor's legal name

(hereafter referred to as "the minor") does hereby state that the minor
wishes to participate in activities sponsored by the international 
organization known as the Society for Creative Anachronism, Inc., a 
California not-for-profit corporation (hereafter referred to as the "SCA").

The SCA has rules which govern and may restrict the activities in which
the minor can participate. These rules include, but are not limited to:
Corpora, the By-laws, the various kingdom laws and the Rules for combat
related activities.

The SCA makes no representations or claims as to the condition or safety
of the land, structures or surroundings, whether or not owned, leased,
operated or maintained by the SCA.

The minor's parent(s) or guardian(s) understand that all activities are
VOLUNTARY and that the minor does not have to participate. It is understood
that these activities are potentially dangerous or harmful to the minor's
person or property, and that by participating, the minor's parent(s) or
guardian(s) voluntarily accepts and assumes the risk of injury to the
minor or damage to the minor's property.

It is understood that the SCA does NOT provide any insurance coverage
for the minor's person or property; and the minor's parent(s) or guardian(s)
acknowledge that they are responsible for the minor's safety and the minor's
own health care needs, and for the protection of the minor's property.

In exchange for allowing the minor to participate in these SCA activities
and events, the minor by and through the undersigned agrees to release
from liability, agrees to indemnify, and hold harmless the SCA, and any
SCA agent, officer or SCA employee acting within the scope of their duties,
for any injury to the minor's person or damage to the minor's property.

This Release shall be binding upon the minor, the parent(s) or guardian(s),
any successors in interest, and/or any person(s) suing on the minor's behalf.

The minor's parent(s) or guardian(s) understand that this document is
complete unto itself and that any oral promises or representations made
to them concerning this document and/or its terms are not binding upon
the SCA, its officers, agents and/or employees.


PARENT OR LEGAL GUARDIAN MUST SIGN BELOW:
I, the undersigned, state that I am the parent or legal guardian of the
minor whose name appears above. I understand that the above terms and
conditions apply to said minor and to myself. I further understand that
said minor cannot participate under ANY circumstances in armored martial
arts, any combat-related activities, combat-archery, or fencing without
parental consent where such participation is allowed by kingdom law. The
minor will not be able to participate in any SCA activities without
entering into this agreement. this document is binding on myself, the said
minor and any person suing on behalf of said minor.

Minor's Name (PRINT):


_________________________________________________________________________


Birthdate of minor:_______________________________  


Home state of minor:_____________________________


Legal Name (PRINT):


___________________________________________________________________________
			      	Parent/Guardian

Legal Name (SIGN):


___________________________________________________________________________
                                Parent/Guardian


Date:___________________



By these words, terms and conditions, I am also bound.


Legal Name (PRINT):


___________________________________________________________________________
			     	Minor

Legal Name (SIGN):


____________________________________________________________________________  
			    	Minor


= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =

                MEDICAL AUTHORIZATION FOR MINORS


I, ________________________________________ the parent or legal guardian of:
   (parent or legal guardian's legal name)


____________________________________________, a minor, do hereby authorize
   (minor's legal name)


any one or more of ____________________________________, or
                            (legal name)

                   ____________________________________, or
                            (legal name)

                   ____________________________________
                            (legal name)

in my absence or incapacitation to consent to any X-ray examination
and anesthetic, medical or surgical diagnosis or treatment and medical
care which is deemed advisable by and is to be rendered under the general
or special supervision of any physician or surgeon licensed under the
provisions of the Medical Practice Act on the medical staff of any hospital
whether or not such diagnosis or treatment is rendered at the office of
said physician or at said hospital.

It is understood that this authorization is given in advance of any
specific diagnosis, treatment or hospital care being required but is
given to provide authority and power on the part of the aforesaid agents
to give specific consent to any and all such diagnosis, treatment or 
hospital care which aforementioned physician in the exercise of
his or her best judgment may deem advisable.

I hereby authorize any hospital which has provided treatment to the 
above-named minor to surrender physical custody of such minor to the 
above-named agents upon completion of treatment.

These authorizations shall remain in effective until _____________, 19____,
unless sooner revoked in writing delivered to said agents.


_________________________________
    (date)

_________________________________
    (parent's or legal guardian's signature)


Please note any specific health plan or insurance information such as
membership or policy numbers on the back of this form.

Copies of this form, duly executed, should be in the possession of the
named minor; at least one adult named in this document and present
at the event; and the parent or legal guardian executing the Medical
Authorization.

The SCA requires minor participants (i.e. those having to have waivers)
whose parents or legal guardians are not present at the event to have
a valid Medical Authorization Form. The SCA recommends use of the
Medical Authorization for all minor attendees.