PERMISSION FOR EMERGENCY TREATMENT. Name of Child In the event of an emergency or accident which requires immediate medical treatment and/or at a time when a parent cannot be located, I give permission for the Director, or any staff member at Victory Church or Victory Kidz Care to authorize such treatment. I will not hold Victory Church, or its employees, Pastors, Board, or members, or any medical personnel liable in any way. This is done with the understanding that every reasonable attempt will have been made to contact the parents or legal guardians. Date Signed (Parent or Legal Guardian) Health Insurance Company Policy # Group # Subscriber # Important Medical Information (food or medication allergies, asthma, heart problems, diabetes, etc.) COMMONWEALTH OF VIRGINIA SCHOOL ENTRANCE HEALTH FORM
PERMISSION FOR EMERGENCY TREATMENT. On rare occasions an emergency requiring hospitalization and/or surgery develops. Since minors may not, as a rule, be administered an anesthetic or be operated on without the written consent of the Parent, SSA requires that Parents acknowledge by their signature on this document, the following statement; Every effort will be made to contact Parents before any major treatment. This permission is to prevent a dangerous delay in case an emergency does occur and we are unable to contact Parents. In the event of injury or illness to the Student, Parents hereby authorize the representative abroad of SSA, its agents or representatives of its partner school to secure whatever medical treatment is deemed necessary, including the administration of an anesthetic and surgery.
PERMISSION FOR EMERGENCY TREATMENT. On rare occasions an emergency requiring hospitalization and/or surgery develops. Since minors may not, as a rule, be administered an anesthetic or be operated on without the written consent of the Parent, SSA requires that the Parent or Parents acknowledge by their signature on this document, the following statement; Every effort will be made to contact the Parent or Parents before any major treatment. This permission is to prevent a dangerous delay in case an emergency does occur and we are unable to contact the Parent or Parents. In the event of injury or illness to the Student, the Parent or Parents hereby authorize the representative of SSA or its agents to secure whatever medical treatment is deemed necessary, including the administration of an anesthetic and surgery. In the event of the onset of Covid 19 symptoms, the Parent or Parents hereby authorize the representative of SSA or its agents to secure whatever medical treatment is deemed necessary, including the administration of testing at a clinic for COVID 19.
PERMISSION FOR EMERGENCY TREATMENT. I hereby grant permission to Bayside FC, including it’s affiliates and employees, to secure proper treatment for my child in case of a surgical or medical emergency, including hospitalization, provided, he or she is unable to communicate, and when delay might endanger the life or health of my child. I give permission for my child to receive emergency treatment and understand that every attempt will be made to contact the emergency contact.
