Authorization for treatment
We hereby give permission to the medical personnel selected by the camp/band director to order any routine
and emergency medical treatment; to release any records necessary for insurance purposes; and to
provide or arrange necessary transportation for my child while participating with the North Farmington
High School Band. It is further warranted that if this agreement is signed by one of two parents or
guardians, it is with the authority of the other. This health history is complete as far as I know, and the
person herein described has permission to engage in all camp/band activities except as noted.