CBD 2010 Guardian Consent Form
CBD 2010 Guardian Consent Form
I also agree to assume responsibility, both legal and financial, for any actions taken by my child during
the period of his/her participation in CBD.
I hereby grant permission for my child to participate fully in CBD activities. Also, I give me permission
for any agent, officer, volunteer, or employee of the Chinatown Youth Initiatives to transport my child to
a doctor or hospital in the event of a medical emergency. I authorize my child’s advisor or counselor to
oversee medical treatment, including by not limited to emergency surgery or medical treatment, and I
assume the responsibility for all medical bills that may result from such services.
Further, should it become necessary for the participant to return home due to medical reasons,
disciplinary action or for any other reason, I will assume all transportation costs.
By signing below, I certify that I have read and agree to be bound by the above in its entirety.