As parent/legal guardian, I authorize the treatment of any minor child/ren by a qualified and licensed medical doctor in the event of a medical emergency, which, in the opinion of the attending physician, may endanger his/her life, cause disfigurement, physical impairment or undue discomfort if delayed. This authority is granted if a reasonable effort is made to reach me.The release form is completed and signed of my own free will and with the sole purpose ofauthorizing medical treatment under emergency circumstance in my absence.