PARENTAL/LEGAL GUARDIAN AUTHORIZATION FOR MEDICAL TREATMENT

In the unlikely event that a serious emergency arises it may become necessary for a physician to attend to your child before a staff member is able to contact you. Your consent for medical treatment is required to ensure that proper emergency care is provided.

I hereby authorize Watershed Farm & Forest School to provide first aid, including care rendered through the facilities of the nearest physician or hospital for any emergency that may arise while my child is on the property of The Watershed Farm. I will assume full financial responsibility for all medical, nursing, or surgical care, including transportation of my child. The health history information and emergency contacts I have provided on this enrollment form is accurate to the best of my knowledge. Should any of that information change I will contact Watershed Farm & Forest School with current and up to date information.