I, the parent or legal guardian of the child(ren) listed above, herein referred to as “my child”, hereby consent and give permission to Summer Fun to render emergency medical treatment to my child.
I further authorize and consent to medical, surgical and/or hospital care, treatment and procedures, to be performed for my child by a licensed physician or hospital staff, when deemed immediately necessary or advisable by a physician and I can not be contacted. I hereby waive my right to an informed consent for such treatment.
I further give permission for my child to be transported by ambulance and/or car to a hospital emergency center for treatment.
I certify (or declare) under penalty of perjury under the laws of the State of Washington, that the foregoing is my free and voluntary act and that the information provided herein is true and correct according to my personal knowledge and belief.