Authorization for Medical Treatment, and Waiver and Release of Claims, 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the name of the participant in the designated field. This identifies who is covered under this authorization.
3. In the indemnification section, review the terms carefully. This section outlines your agreement to hold harmless Wright State University and its affiliates from any claims related to participation.
4. Next, confirm that the participant has no known medical issues that would hinder their ability to participate. If there are any concerns, note them accordingly.
5. Authorize emergency medical services by signing where indicated. This grants permission for medical personnel to act in case of an emergency.
6. Finally, both the participant and parent/guardian must sign and date the form at the bottom to validate it.

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