Limited Power of Attorney for Emergency Medical Care Authorization

I hereby give my permission for my child(ren) enrolled in Faith Formation to be given emergency treatment to include first aid and/or CPR by a trained and qualified staff member or the local rescue unit. I further authorize and consent to medical, surgical, and hospital care, treatment, and procedures to be performed for my child(ren) by a licensed physician or hospital when deemed immediately necessary or advisable to safeguard my child’s health in the event I cannot be contacted. I waive my right of informed consent to such treatment should an accident and/or illness require immediate medical attention. I acknowledge it is my responsibility to keep this medical emergency information and all other information concerning my child(ren) current throughout my child’s enrollment in the Religious Education/Faith Formation program. I authorize the sharing of necessary information included in this document with staff that need to know how to provide a safe and healthy environment for my child(ren). I accept all financial responsibility for any and all care/services rendered and indemnify Saint Francis of Assisi Parish therefore. Further, I released Saint Francis of Assisi Parish from any and all liability arising out of any act or omission hereunder.