©2018 by Medical Association of Georgia

The undersigned, being at least eighteen years of age or with parental consent if under eighteen, and in consideration for acceptance, approval and participation in the Medical Association of Georgia Medical Reserve Corps for emergency response, events, and training and exercises, does hereby agree to this consent, waiver and release of liability.


Acknowledgement and Assumption of Risk
I recognize that my volunteer service will involve physical labor and may carry a risk of personal injury. I further recognize that there are natural and manmade hazards, environmental conditions, diseases and other risks, which in combination with my actions can cause injury to me. I hereby agree to assume all risks, which may be associated with or may result from my participation with MAG MRC.


I recognize that these MAG MRC activities will involve physical activity and may cause physical and emotional discomfort. I state that I am sufficiently physically fit to volunteer with MAG MRC.


Waiver and Release of Liability
I agree to release the State of Georgia, the Medical Association of Georgia, their agencies, departments, officers, employees, agents and all sponsors and/or officials and staff of any said entity or person, their representatives, agents, affiliates, directors, servants, volunteers, and employees (hereinafter referred to collectively as “Parties Released”) from the cost of any medical care that I receive or require while volunteering with MAG MRC or as a result of it.


I further agree to waive, release and discharge the Parties Released from any and all liability, claims, demands, actions, and causes of actions, whatsoever, for any loss, claim, damage, injury, illness, attorney’s fees or harm of any kind or nature to me arising out of any and all activities associated with MAG MRC volunteer service or as a result of it.


I further agree to indemnify, save, and hold harmless the Parties Released from and against any and all claims of any nature, including all costs, expenses and fees, arising out of or resulting from my volunteer service with MAG MRC.

 

Consent
In the event of injury while volunteering in any and all activities associated with MAG MRC volunteer service, I consent to receive any emergency medical aid, anesthesia, and/or medical treatment or operation if, in the opinion of the attending physician, such treatment is necessary.


I, the undersigned participant, affirm that I am at least 18 years of age or have parental consent, and am freely signing this agreement. I have read this form and fully understand that by signing this form I am giving up legal rights and/or remedies, which may otherwise be available to me regarding any losses I may sustain as a result of my participation. I agree that if any portion is held invalid, the remainder will continue in full legal force and effect.