Thomas Toy Community Center:

Minor Travel, Medical, and Liability Consent Form

Event Name: Dell'Osso Family Farm

Event Date(s): Tuesday, October 21st

Event Location: Dell'Osso Family Farm 501 S. Manthey Rd., Lathrop, CA 95330

Part 1: Minor's Information

Part 2: Parent/Legal Guardian Information

Part 3: Authorization for Travel

I/We, the undersigned parent(s) or legal guardian(s) of the minor named above, give my/our full consent and authorization for my/our child to travel with staff and volunteers of the Thomas Toy Community Center  to and from the event named above.

Method of Travel: Thomas Toy Community Center employee vehicles.

Departure Time and Location: 3:00 pm on Thursday, October 9th from 602 E. Yosemite Ave., Manteca, CA 95336

Return Time and Location: TBD on Thursday, October 9th to 602 E. Yosemite Ave., Manteca, CA 95336.  Concert is scheduled to end at 7pm.

Part 4: Medical Authorization and Consent (California Family Code § 6910)

Medical Information:

According to California Family Code § 6910, I/we grant Thomas Toy Community Center staff and volunteers authorization to consent to necessary medical, surgical, or dental care for my/our child by licensed California professionals. This consent is given in advance, covers various treatments, and allows for care deemed advisable by a medical professional. Efforts will be made to contact me/us in an emergency, but this authorization is valid if contact is not timely. I/we agree to cover all medical expenses incurred. 

Health Insurance Information:

Part 5: Waiver and Release of Liability

I/We acknowledge the inherent risks in community center programs, including travel, which may result in injury or property damage. By allowing my/our child to participate, I/we, on behalf of ourselves and my/our child, release Thomas Toy Community Center, its staff, volunteers, and agents from any claims or liabilities for injury, death, or property damage during the event or travel. I/we confirm that I/we have read and understood this document, recognize it as a release of liability, and sign it willingly.