Alternate Emergency Contact (relative, family friend, secondary guardian)
Authorization for Medical Treatment In Case of an Emergency *
I understand that every reasonable effort will be made to contact me. However, if I cannot be reached, I give permission for any physician, nurse, paramedic and/or medical facility to treat my child with any established or approved medical/surgical procedure necessary to ensure his/her health and safety. This may include hospitalization, anesthesia, surgery, or injections of medications. I agree to hold harmless all medical personnel, including those rendering first aid, in this event.
Mission Projects, Christmas Pageant, etc.
Thank you for submitting your Children & Youth Registration/Medical Release Form.