Waiver for participation by minors

I am the parent or legal guardian of _______________, a minor who wishes to serve as a training victim for the Bridgeport Hospital / JHPC emergency medical services education programs.

I understand the following stipulations:

1. There will be adult supervision at all times. No participant will ever be alone with a student. A teaching assistant will always be with a student.

2. Participants may be undressed to facilitate a realistic examination so they need to bring a bathing suit or gym shorts. Participants will never be undressed beyond that point.

3. Participants will receive compensation for their participation.

Printed name of parent or guardian ________________

Signature ___________________ date __________