SUPERIOR  LITTLE GUY WRESTLING AUTHORIZATION TO CONSENT TO TREATMENT OF MINOR

(I)/(We), the undersigned, parents/guardians of a minor, do hereby authorize Superior Little Guy as agent(s) for the undersigned to consent to any x-ray examination anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable by and is to be rendered under the general or special supervision of any physician and surgeon who is licensed to practice in the state of Montana or the state of Idaho, whether such diagnosis or treatment is rendered at the office of said physician or at any hospital.

It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care being required but is given to provide authority and power on the part of our aforesaid agent (s) to give specific consent to any and all such diagnosis, treatment or hospital care which the aforementioned physician in the exercise of his best judgment deem advisable.

The authorization shall remain effective until the beginning in January 2023 and ending in January 2024, unless sooner revoked in writing delivered to said agent(s).

Permission to Participate and Handbook Verification

I have read the Superior Little Guy Wrestling Activities Handbook and I understand that these are the policies that will govern the 2022 athletic season.  I understand that administrative staff and coaches of Superior  Little Guy will govern policies not addressed in this handbook.  Checking the agree box below signifies that I am giving my permission for the above-named student to participate in Superior Little Guy wrestling.