I, the undersigned, do hereby authorize officials of Covenant Community School to contact directly the persons named on this form and do authorize the named physicians to render such treatment as may be deemed necessary in an emergency for the health of my children
In the event parents cannot be contacted, the school officials are hereby authorized to take whatever ac)on is deemed necessary in their judgment for the health of the children
I will assume full financial responsibility for the emergency care and/or transportation for said child, and will not hold the school financially responsible.