I___________, hereby give permission for my child, _______________ to be given emergency treatment, to include first aid and CPR by a qualified staff member of Gracepointe. I further authorize and consent to medical, surgical, and hospital care, treatment, and procedures to be performed for my child by his/her regular physician, or when the physician cannot be reached, by a licensed physician or hospital when deemed immediately necessary or advisable by the physician to safeguard my child's health if I cannot be contacted. In such case, I waive my right of informed consent to such treatment. I also give permission for my child to be transported by ambulance or aid car to an emergency center for treatment. I further authorize said center to take my child to a hospital and agree that I will pay all physician and hospital bills and said center will not be responsible for them.