Drag and Drop (or) Choose Files
I authorise NOMAD to provide the minor with any medical and surgical care that could be necessary after consulting a general practitioner in case of an accident, emergency surgical operation, contagious disease, or any other serious illness.
My child received vaccinations following mandatory recalls and can live in a community to date. If your child hasn’t received these vaccinations, you must attach a certificate of medical contraindication for the vaccinations concerned.
No Additional Signature Required. I agree to this statement: I am the parent or authorized legal guardian of participant and confirm I have the authority to execute this Application, and I do execute it on my own behalf, on behalf of any other parent, guardian or legal representative and on behalf of the participant. I confirm that no additional signature is required by another parent, guardian or legal representative of participant and will hold NOMAD | OUTDOOR DIVISION harmless for any costs resulting from this being untrue.
I have read and agree to the Terms & Conditions.
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