ASSUMPTION OF RISK/PERMISSION TO TREAT:
I/We agree that my/our student is of good health and free from any medical condition, physical or mental, which could interfere with my student's ability to use Extended Care.
I/We understand that in the event of an injury, illness, and/or accident involving my/our student, I authorize Timberlake Christian School and its employees to seek medical attention or care or to transport my/our student to a medical facility or hospital. I agree that Timberlake Christian School has no obligation to seek or provide such medical care to my/our student. In the event Timberlake Christiasn School seeks transportation and/or medical care for my/our student, I agree to pay all related charges and to hold Timberlake Christian School harmless from all charges. I/We understand that Timberlake Christian School will make every effort to contact me prior to seeking treatment for my/our student, but the medical staff will not withhold any of the above treatment if Timberlake Christian School cannot reach me.
ELECTRONIC SIGNATURE VERIFICATION:
I certify that the signature below is a representation of my signature, the parent/guardian, as if it were written on paper.
PARENT/LEGAL GUARDIAN CONSENT:
As the parent and/or legal guardian of the student identified above, I agree that I have carefully read, undestand, and consent to this agreement.