3YC: Minor Waiver and Consent Forms

[Dave Speed]

>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
>= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =





The only problem that I can see is there is no place for the notary to do 
his or hers notary acknowledgment on the bottom or am I missing it?


David de Menthe


>[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. 
>
>
>