Consent for Emergency Treatment. I authorize the Releasees, and their designated representatives to consent, on my behalf, to any emergency medical/hospital care or treatment to be rendered upon the advice of any licensed physician. I agree to be responsible for all necessary charges incurred by any hospitalization or treatment rendered pursuant to this authorization. Signature: Date: Signature of Parent or Guardian
Appears in 4 contracts
Samples: Activity Waiver, Activity Waiver, Activity Waiver