MEDICAL/LIABILITY RELEASE VALID APRIL 25-29,2016
In the event of sickness or some medical emergency, I request that my child receive any medical attention or treatment deemed necessary. therefore I give permission to any hospital, doctor, and/or health care provider to transport and/or admit for care of my child. I understand that I am responsible for all expenses and charges for the treatment and care of my child. In the event that I am not present at the time of emergency or cannot be contacted, my childs care has been entrusted to the staff and designated ministry leadership of Immaculate Conception.