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Registration/MMS Authorization Forms

2024 Camp Registration Form

MMS Authorization Form

2024 Camp Registration

MMS Member
-
Payment Options Required
Payment Method
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SCAN TO PAY

INFORMED CONSENT AND ACKNOWLEDGEMENT I hereby give my approval for my child’s

participation in any and all activities prepared by during the selected camp. In exchange for the

acceptance of said child’s candidacy by Magical Musical Squad., I assume all risk and hazards

incidental to the conduct of the activities, and release, absolve and hold harmless Magical Musical

Squad. and all its respective officers, agents, and representatives from any and all liability for injuries

to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against Magical Musical Squad, including all

staff members and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable,

owners and leasers of premises used to conduct the event. There is a risk of being injured that is

inherent in activities. Activities such as, but are not limited to, chorography, theater games, rehearsals

and performances. Some of these injuries include, but are not limited to, the risk of fractures,

paralysis, or death.

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MEDICAL RELEASE AND AUTHORIZATION As Parent and/or Guardian of the named athlete, I

hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the

minor child, in the event of a medical emergency, which in the opinion of the attending medical

professional, requires immediate attention to prevent further endangerment of the minor’s life,

physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical

treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency

arising out of serious illness, the need for major surgery, or significant accidental injury, I understand

that every attempt will be made by the attending physician to contact me in the most expeditious way

possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to the Magical Musical Squad and its affiliates including Directors, Staff,

and Team Parents to provide the needed emergency treatment prior to the child’s admission to the

medical facility.

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Release authorized on the dates and/or duration of the registered season.

This release is authorized and executed of my own free will, with the sole purpose of authorizing

medical treatment under emergency circumstances, for the protection of life and limb of the named

minor child, in my absence.

CONFIRMATION BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN

ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL

PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN

ORIGINAL MANUAL PAPER SIGNATURE.

Thanks for registering to our event. See you there!

Magical Musical Squad
Syracuse, NY

Phone: 315.663.1770
Email: MagicalMusicalSquad@gmail.com
I would like to: Required

Thanks for submitting!

Thanks for submitting!

The Magical Musical Squad is an inclusive community enrichment program.
Magical Musical Squad is a Coalition of the Arts program co-sponsored by Grace Church (https://gracesyracuse.org) and St. David’s Church (https://www.stdavidscny.org).

The ensemble is a 501c3 non-profit, funded by donations and grants from

the Jim and Juli Boeheim Foundation and the Episcopal Diocese of Central New York. 

© 2024 Magical Musical Squad. Designed by MIG 

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