I hereby declare that I am the parent or legal guardian of the
named participant and I consent to the participant’s participation in this
program. I acknowledge that I have read this entire document, that I fully
understand it, and that I agree to be legally bound by it.
In the event of sudden illness, accident, or injury which may occur
while my child or ward is engaged in this activity (program), when neither the
parents nor guardians can be contacted, I hereby give my consent for emergency
medical treatment as necessary under the circumstances to any medical care
provider licensed under the laws of the State of Missouri.