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Parent/ Guardian Signature Date Printed Name I understand that IMSA supports my physician s treatment goals for me improvement of health enhancement of well-being and promotion of optimal functioning. Revised 3/10/2015 I further acknowledge and agree that when the lawfully prescribed medication is so administered or attempted to be administered I waive any claims that I might have against the Academy its employees and agents arising out of the administration of said medication. In addition I...
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