Medical Treatment Release
The health history is complete and accurate. I know of no reason(s), other than the information indicated on this form, why my child should not participate in prescribed activities except as noted. If this information changes during the VIBE performance year, I will notify the leaders in writing. I understand this information will remain confidential to the VIBE directors, adults in charge of girls at workshops, competitions and other activities and to designated persons trained in first aid and emergency personnel as needed. I hereby give permission to the adult in charge to provide routine health care, administer prescribed medications and seek emergency treatment including ordering x-rays and routine tests. I agree to the release of any medical records necessary for insurance purposes. I give permission to the adult in charge to arrange necessary related transportation for my child. Every effort will be made to contact parents and/or emergency contacts prior to treatment.