Medical Emergency Authorization
By clicking SUBMIT I/we hereby acknowledge: I/We may not be available to provide consent for medical treatment in the event that our child becomes sick or is injured during participation in a school authorized activity. If I/we are not available for such consent, it is my/our desire to have the best available medical treatment for my/our child. THIS FORM HEREBY AUTHORIZES THE NEW SHUL RISHONIM/BKS AND ITS STAFF TO ACT ON MY/OUR BEHALF WITH RESPECT TO ANY REQUIRED MEDICAL TREATMENT DECISIONS AND CONSENTS UNTIL SUCH TIME AS I/WE ARE ABLE TO PROVIDE THESE ITEMS. NOTICE IS HEREBY GIVEN TO ANY QUALIFIED MEDICAL PERSONNEL THAT THIS AUTHORIZATION IS CURRENTLY IN EFFECT, AND SUCH PERSONNEL ARE DIRECTED TO ACT UPON SUCH AUTHORIZATION WITHOUT DELAY. I/We agree to assume financial responsibility for all expenses and bills incurred in any emergency requiring medical attention.