MEDICAL RELEASE *
As a parent and/or guardian, I do hereby authorize treatment under direction of any licensed physician of the above minor in the event of a medical emergency which, in the opinion of the attending physician, may endanger his or her life, cause disfigurement, physical impairment, or undue discomfort if delayed. This authorization is granted only after reasonable effort has been made to reach me by phone at the number listed above. The undersigned assumes the responsibility for any cost connected with such treatment and hereby releases Valley Bible Church AWANA Club from any liability. This release form is completed and signed of my own free will with the sole purpose of authorizing medical treatment under emergency circumstances in my absence.
