Medical Release

I/We, the parent(s)/guardian(s) of the above noted student do hereby constitute and appoint Renaissance School, acting by and through its authorized agents, attorney in fact for us in our name, place, and stead to exercise, do, or perform any act, right, power, duty or obligation whatsoever we have as the parent(s)/guardian(s) of the above named student relating to any necessary medical attention or treatment determined by a medical doctor to be necessary to be administered to our child on an emergency basis, to protect the well-being of our child, including, but not by way of limitation, the power, authority and right to authorize any and all surgical procedures and hospitalization that may in the discretion of Renaissance School, when so advised by a medical doctor, be determined to be necessary as emergency care and/or treatment. In witness whereof, I/we, the parent(s)/guardian(s) of the above named student have executed this limited power of attorney. -Parents write YES and print full name below to opt-in to waiver-