As parent and/or guardian the named camper, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment fo the minor's life, physical disfigurement, physical impariemnt, or other undue pain, suffering or discomfort, if delayed.
Permission is hereby granted to the attending physicain to proceed with any medical or minor surgcial treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidntal injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authroization is granted only after a reasonable effort has been made to reach me.
Permission is also granted to the Ridgeview Baptist Church, and its affiliates including Directors, volunteers, and church members to provide needed emergency treatment prior to the child's admission to the medical facility.
Release authorized on the the dates and/or duration of the registered season.
This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child in my absence.
