Common use of PERMISSION FOR EMERGENCY TREATMENT Clause in Contracts

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. 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 Health Insurance 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