I, the undersigned, being the member or parent/legal guardian of the member, hereby authorize any necessary medical treatment.
I/We authorize the administration of any medications prescribed by a doctor in attendance of this member while under the supervision of Legacy Production Co. while at rehearsal and on any approved trips
I/We guarantee payment of any charges incurred during medical treatment.
I/We hereby certify that the above information in current and correct.
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We’ll contact this person only in case of emergency.