Authorization for Treatment and Photo Release: The student named above has my permission to participate in St. Stephen's Episcopal Church's Youth & Children's programs, events, field trips, and outings including play on bouncies, water slides, and other equipment. I waive any claim against the church and its approved leaders, teachers, staff, and volunteers. In case of medical emergency, I/we, the parent(s) or legal guardian(s) of the student, a minor, hereby authorize and consent to any x-ray examination, anesthetic, medical or surgical diagnosis, treatment, and hospital care which is deemed advisable by, and is to be rendered under, the general or special supervision of any licensed medical personnel on the staff of any licensed hospital or medical facility at my/our expense. This authorization is given in advance of any specific diagnosis, treatment, or hospital care required, but is given to provide authority and power to call paramedics, transport, and render care which is deemed advisable in the best judgment of the medical personnel. I consent to allow pictures of this child to be used on bulletin boards and in publications (such as handbooks, brochures, fliers, Chapel booklets, newsletters, web pages, Facebook, etc.) unless otherwise noted in the comments section of this form.