As the legal parent or guardian of the above named student, and in the event of an injury or illness which requires immediate examination or treatment, in the opinion of University Lake School officials, I authorize University Lake School on my behalf to have my child transported by car or ambulance to the nearest hospital. Necessary emergency treatment may be given by any doctor on call.
The parents of a student who incurs an injury or suffers an illness that requires more than first aid will be notified as soon as practical after the injury occurs. In an emergency, this notification may occur after the student has been transported to and/or treated by a doctor, clinic or hospital.
I understand that the school assumes no financial responsibility for medical care or ambulance conveyance. We further understand that ULS does not carry medical expense insurance for the benefit of any student who may be injured while participating in school activities and that ULS assumes no responsibility for such medical expense. We further understand that a student who does not have health insurance coverage will not be permitted to participate in athletics unless this statement is signed and filed with the Head of University Lake School. We consent to having our son/daughter participate under these conditions and authorize the treatment of injuries and illness incurred by our child in accordance with the procedure described above.