In the event of an emergency, we will make every effort to contact the parents or designated emergency contacts.I(We) the undersigned, parent(s)/guardian(s) of the below stated, do hereby authorize Kehillat Israel as agent(s) for the undersigned to consent to any emergency, x-ray examination, anesthetic, medical or surgical diagnoses or treatment and hospital care which is deemed advisable by, and is rendered under the California Medical Practice Act by the medical staff of a licensed hospital, whether such examination, diagnoses or treatment is rendered at the office of said physician or at a said hospital. It is understood that this authorization is given in advance of any specific emergency examination, diagnoses, treatment, or hospital care being required, and is given to provide authority and power on the part of my(our) above stated agent(s) to give specific consent on any and all such examinations, diagnoses, treatment or hospital care which the aforementioned physician in the exercise of his/her best judgment may deem advisable pursuant to the provisions of Section 6910 of the Family Code of California.I/We hereby authorize any hospital which has provided treatment to the above named minor pursuant to the provisions of Section 6910, of the Family Code of California to surrender physical custody of such minor to my/our above named agent(s) upon the completion of treatment. This authorization is given pursuant to the Section 1283 of the Health and Safety Code of California. I/We also release Kehillat Israel and their representatives for all responsibilities of mishaps which may befall the above named individual.Specifically, in consideration of the opportunity to attend all scheduled activities with Kehillat Israel’s religious school and/or youth program, I agree for me, my child, and my spouse to release, indemnify and hold harmless Kehillat Israel ("KI") and its affiliates officers, directors, representatives, agents and employees and all other persons or entities acting in any capacity on KI’s behalf (the "Released Parties") from, and agree not to sue the Released Parties for, any claims that I or my child may have arising from, or in connection with, any personal injury, bodily injury, mental anguish, emotional distress, physical, property or other damage that I or my child may suffer from any cause whatsoever related in any way to my participation in this KI religious school and/or youth group activity, including securing medical treatment for my child. Without limiting the generality of the foregoing, I release, indemnify and hold harmless the Released Parties from, and agree not to sue them for any personal injury, bodily injury, mental anguish, emotional distress, physical, property or other damage that I or my child may suffer from the Released Parties’ negligence arising from or related to my child’s participation in the religious school and/or youth group activity, including travel thereto and KI’s securing or authorizing medical treatment for my child. These authorizations shall remain in effect for this student from September 11, 2016 until June 4, 2017.