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Sports Therapy Waiver

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I, parent or guardian of minor listed above, consent that Unknotted is authorized to provide sports therapy to my athlete, which services include the prevention, care, treatment, and rehabilitation of athletic injuries using certain physical modalities (i.e. methods of treatment - such as taping, cupping, and other forms of manual therapy).

“Athletic Injuries" means the types of musculoskeletal injury or common illness and conditions, incurred by athletes, which prevent or limit participation in sports or recreation. 

I, the undersigned, certify that I am the parent or legal guardian of the child listed below and that I am authorized to provide informed consent for any therapy provided to the applicable child by Unknotted LLC. I hereby consent to the following:

The child may receive therapy from Unknotted for athletic injuries, as needed.

The above consents are intended to cover any athletic injury sustained in connection with any competition or practice. I understand the nature of the athletic training services which I have consented to above, and I acknowledge that no guarantees have been made to me or my child as to the results thereof.

I hereby specifically release and agree to indemnify and hold harmless Unknotted LLC, from any and all claims associated with taking any action in accordance with the above instructions, including, without limitation: giving, obtaining, or refraining from giving or obtaining, therapeutic services.

I hereby agree to inform the therapist of anything they need to be aware of regarding the health of my child as it critical to their ability to effectively treat my child/minor. (Including but not limited to - medications, disorders, physical trauma/injury, etc.)

Review & Agree