I give permission and hereby authorize AHLI and its respective Representatives, officers, directors, volunteers and employees, including the Child’s host family or families for the student to:
- provide routine health care, dispense any medications prescribed to the Child,
- dispense to the Child any over-the-counter medications (according to proper dosage instructions) when
reasonably deemed necessary
- transport the Child to a medical facility for medical treatment
- authorize any physician, dentist, hospital or medical treatment center to treat the Child in case of an emergency. I hereby do consent to the use of blood and/or blood products under the care of a licensed physician in case of an emergency.
The undersigned shall be liable and agrees to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned son/daughter pursuant to this authorization. Should it be necessary for my son/daughter to return home, due to medical reasons or otherwise, the undersigned shall assume all transportation costs and expenses.
We, the undersigned (parents/legal guardians) hereby release American Home Life International, Inc., its Board of Directors, Student Coordinators, Host Family Guarantors, Host Families and Academic Institutions from any and all current and future claims, charges, costs and/or causes of action for loss of property, personal injury, illness, accident or death sustained by my child during the time that he/she is participating in the program, whether covered by current insurance or not. I further agree to indemnify and hold harmless all of the above named from any and all liabilities, including liabilities to third parties, which may arise from my child’s participation in the program.
Photo and Video Release
I give permission and hereby authorize AHLI and its respective representatives, officers, directors, volunteers and employees, including the Student's host family or families, to use photographs and any other materials, in which the Student may appear, for promotional or publicity of future programs.
