I hereby state that I have legal custody of the Minor named above. I grant my authorization and consent for the Camp Director or designee to administer general first aid treatment for any minor injuries or illnesses experienced by the Minor. If the injury or illness is life threatening or in need of emergency treatment, I authorize the Camp Director or designee to summon professional emergency personnel to attend, transport, and treat the Minor. I voluntarily consent to the rendering of medical care for the Minor including X-ray, anesthetic, blood transfusion, medication, or other medical diagnosis or treatment deemed advisable by licensed medical professionals.
It is understood that this authorization is given in advance of any such treatment, but is given to provide authority and power on the part of the Camp Director in the exercise of his or her best judgment upon the advice of medical or emergency personnel. I acknowledge that no guarantees have been made to me as to the effect of such examinations or treatments on my child’s condition. I accept financial responsibility for expenses charged in connection with such care and treatment.