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 Medical Release Form

For all Kingsland sponsored Activities

Parent Info

In the event of an emergency or any situation requiring medical treatment, I (the above identified signer) hereby authorize permission for any and all medical procedures in the event of an accidental injury or illness, until such time as I can be contacted. This permission includes the administration of first aid, the use of an ambulance and the administration of anesthesia and/or surgery under the recommendation of qualified medical personnel.

Thanks for filling up the Release Form!

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