Herby authorizes the personnel of Kenny Gainwell, including staff and volunteers of the program, to provide consent for any necessary medical or surgical diagnosis, treatment, and hospital care for the minor under the supervision and advice of a licensed physician in the State or County where the services are rendered.

This authorization only applies when immediate medical or surgical attention or hospital care is required, and I cannot be reached to provide consent.

In consideration of Kenny Gainwell accepting the responsibility to give consent for medical and/or surgical diagnosis, treatment, and hospital care as described above, I hereby release, discharge, and hold harmless Kenny Gainwell, its sponsors, and partners from any claims of liability or damage arising from the granting or failure to grant such consent in the aforementioned circumstances.

I, the undersigned, have read and fully understand the terms of this Authorization and Release. I willingly and voluntarily execute it, fully aware of its significance.

I grant permission for my child, named above, to participate in all field trips organized by Kenny Gainwell. In consideration of Kenny Gainwell offering my child the opportunity to participate in the program, I release, discharge, and hold harmless Kenny Gainwell from any claims of liability or damage that may arise from their involvement in the program.

I authorize my child to use all equipment and participate in all Kenny Gainwell activities.