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OUTBREAK
CORPORATE PROGRAM
STATEMENT OF HEALTH STATUS AND INDEMNITY
Please read, sign and date the following
Buy cheap health status term paper
HEALTH
I (insert name) ………………………………………………………… assume full responsibility for my health during the Outbreak Pty Ltd run program. I will manage any preexisting medical condition to ensure it is not aggravated and if I am in any doubt about being able to adequately manage the condition I will seek and follow medical advice and advise my employer and Outbreak prior to undertaking the program. I will also notify Outbreak immediately should there be any changes to my health status prior to my participation in the program.
In the case of a medical emergency, I hereby give permission to the doctor chosen by my Employer or Outbreak Pty Ltd, its staff or associates, to secure proper treatment for and/or order hospitalisation, injection, anaesthetic, or surgery for my self. I understand that every effort will be made to consult with me prior to instituting such procedures.
INDEMNITY
My signature below indicates my willingness to participate, using a challenge by choice approach, in activities associated with the program including (but not limited to) those described by Outbreak in literature and/or oral presentation.
I understand that the program has been organized and agreed by my Employer and Outbreak and will/may include activities ranging from simple initiative activities through archery to more adventurous activities like abseiling. As the program will be conducted (primarily) outdoors I acknowledge that there will be the usual inherent risks of being out of doors (e.g. uneven ground, heat, cold, wet and insect bites).
Where every precaution shall be taken to ensure the good welfare and protection of my self, I release Outbreak Pty Ltd, its management, staff members, employees, or any person acting on their behalf from Liability in the event of any accident or misfortune that may occur to my self, or damage, or loss to my property.
SIGNATURE OF PARTICIPANT
CERTIFYING ACCEPTANCE OF ALL CONDITIONS ABOVE.
Signed ………………………………………………………….. Name ……………………………………………………………………
Please Print
Date ……………………………………… Organisation …………………………………………………………………………………
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