I / We, being the parent(s) or legal guardian(s) of the above named minor children, hereby appoint the staff of BridgeMill Summer Camp to act on my/our behalf in authorizing unexpected medical care, dental care, and/or hospitalization for the above named minor(s) during the period of my/our absences while in attendance of BridgeMill Summer Camp.
This document shall be presented to a physician, dentist or appropriate hospital representative at such times as unexpected medical care, dental care and/or hospitalization may be required.