Authorization to Treat a Minor
I, the parent, parents, or legal guardian of the Adventurer named above, hereby grant permission for emergency medical care in case of need. I authorize the club officials to select a physician to hospitalize, provide necessary treatment, and administer injections, anesthesia, or surgery as required for my child.
As the parent or legal guardian of the applicant, I support their attendance at club functions and accept the associated terms and conditions. The provided health history is accurate to the best of my knowledge, and I grant permission for the described individual to participate in all planned club activities unless otherwise specified. Additionally, I have read and comprehended the Emergency Authorization statement and consent to its terms without reservation. I also approve the photocopying of this health record when necessary.