MEDICAL TREATMENT CONSENT ( To be completed by parents )
I , ______________________________________, the parent or guardian of _______________________________ recognize that as a result of athletic participation , medical treatment on an emergency basis may be necessary and further recognize that The Cornerstone Christian School personnel may be unable to contact me for my consent for emergency medical care ; I do hereby consent in advance to such emergency care , including hospital care , as may be deemed necessary under the then existing circumstances and to assume the expenses of such care .
Date : _____________________
_______________________________________________________________________ Signature of Parent or Guardian
please see reverse side for Physician ’ s portion
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