Emergency Authorization: I give permission to the medical personnel selected by the camp director to order X-rays, routine tests for my child in the event I cannot be reached in an emergency. I give permission to the physician selected by the camp director to hospitalize, secure treatment for, and to order injection and/or surgery for my child as named on the registration form. I hereby waive and release CUSD from any and all liability for any injuries or illnesses incurred while the camper is participating in any sport activity associated with the lacrosse teaching including training, stretching, drills, and games. I will be responsible for any medical or other charges in connection with my camper's attendance. I know of no mental or physical problems which may affect my child’s ability to safely participate in this program. **Please sign name below** *