Information which may require special attention (including any helpful suggestions)
To Whom It May Concern:
As a parent and/or guardian, I authorize the treatment by a qualified and licensed medical doctor of this 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 authority is granted only after a reasonable effort has been made to reach me.
This release form is completed and signed of my own free will with the sole purpose of giving permission for my child to participate in the AWANA program and for authorizing medical treatment under emergency circumstances in my absence.