In case of an emergency I understand that every effort will be made to contact the student's Parent or Legal Guardian. In the event the Parent/Legal Guardian cannot be contacted I hereby give my permission to the physician selected by the Band Director or the Band Nurse to secure proper treatment which may include hospitalization, anesthesia, surgery or injections of medications to my student. I understand this may include transportation to a medical facility. I understand that I will be responsible for any charges incurred in the treatment of my student under such circumstance.
I give permission for the band nurse to administer OTC medications (Tylenol, Pepto-Bismol, Cold Medications) and first aid for cuts, scratches, bruises, etc. I also accept full responsibility for any medications my student may take without the knowledge of the band nurse and relieve the school, Band Directors and Band Nurse of any legal responsibility.
By submitting this form, I agree to the Disclaimer above.