Medical Release: By selecting "I agree" below, I authorize an adult leader in whose care my child has been entrusted, to provide first aid/emergency care to our (my) child named under "Child's name" section of this document above in accord with their judgment, treatment which may include administration of over-the-counter (non-prescription) and/or prescribed medications (for my child) to my child. If it is deemed necessary, I give consent to any x-ray examination, anesthetic, medical, surgical, or dental diagnosis or treatment, and hospital care, to be rendered to my child under the general or special supervision of, and on the advice of, any physician or dentist licensed under the provisions of the medical practice act on the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at said physician's office or at said hospital. *