In the event of medical emergency, I give Urska Tennis and her staff the authority to act on my behalf if any medical care is needed. This includes, but is not limited to, first aid, injury prevention, emergency transportation, medical administration and/or any on-site care. I also grant permission for my child to be given any medical treatment as prescribed by a physician or hospital. I do hereby give my consent to medical care, emergency or otherwise, inclusive of any necessary transportation, in the event of the injury to my child/ward. I agree to bear the expense of any such treatment, not covered by insurance listed below.

I also state and agree that the child (he/she) is at the time of enrollment in a good medical condition.