In the event of a medical emergency and after reasonable attempt has been made to contact parents/guardian by phone the undersigned, as parents/guardians of the forenamed child, do hereby further authorize Ascension Lutheran School personnel to act as patron for the undersigned to consent to any X-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care to be rendered to said child under the general or special supervision upon the advice of a physician and surgeon licensed under the provisions of the Medical Practice Act or to consent to an X-ray examination, anesthetic, dental or surgical diagnosis or treatment and hospital care to be rendered to said minor by a dentist licensed under the provision of the Dental Practice Act. The authorization is given pursuant to the provisions of California Civil Code Section 25.8 and in no event will Ascension Lutheran School, its agents, representatives, employees, successors and assignees be held liable for any first aid or surgical treatment, or procedures performed pursuant to this authorization. The undersigned shall be liable for all costs and expenses incurred in connection with such medical services rendered to the forenamed child pursuant to this authorization.
The undesigned does hereby agree to be solely responsible and liable for all costs, damages, expenses, claims and liabilities of every kind and nature arising out of any acts or omissions by the forenamed child while engaged in the described activity.
