I/we give my/our consent to Appalachian Mountain Leadership to authorize emergency examinations and/or diagnostic procedures, procurement of medical treatment, emergency surgery and the administration of necessary anesthetics, when in the opinion of any physician or surgeon of good standing such medical treatment is necessary for the mental or physcial health of the participant and I/we cannot be reached within a reasonable time to obtain my consent to treatment. I/We either have appropriate insurance, or in its absence, agree to pay all the costs of rescue and/or medical services as may be incured on my/our behalf.