I, the undersigned parent or guardian, by clicking yes, do hereby authorize emergency medical, dental, health or hospital
services be rendered to my child upon consent of a FECC Staff member or designated volunteer. The
purpose of this authorization is to permit my child to receive emergency medical attention when needed
while involved in the activities connected with FECC Children’s programs when I or my emergency contact is
unavailable to give such consent. This authorization shall be effective from April 2023 until Dec 2024.
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