I hereby grant permission for the participant to take part in the “BSL Foundation Alpha Beautillion Program,” which is sponsored by the BSL Foundation, Inc.
I also agree, on behalf of myself and the participant, not to make any claims or demands of any kind against the BSL Foundation, Inc., employees or agents for any loss or injury that the participant might sustain while engaged in the “Alpha Beautillion Program” including transportation to and from the program site.
I authorize such physician or medical staff as the BSL Foundation, Inc. may designate to carry out any minor medical/surgical treatment and/or medication necessary, or to take the participant to the nearest emergency facility, and I/we further authorize its medical staff to provide any treatment deemed necessary for the well-being of participant.
I also agree that photographs of the participant may be published for the purpose of publicizing and promoting programs operated and/or sponsored by the BSL Foundation, Inc.
I certify with my signature that I understand the fee structure as outlined here. I also recognize that the aforementioned program schedule is tentative and the Alpha Beautillion Committee reserves the right to make changes to the scheduled programmed activities.