Child Emergency Contact Form
P.O. Box 305Carpinteria, CA 93014Tel.: (805) 448-1186
I authorize all medical and surgical treatment, X-ray, laboratory, anesthesia, and other medical and/or hospital procedures as may be preformed or prescribed by the attending physician and or paramedics for my child and waive my right to informed consent of treatment. This waiver applies only in the event that neither parent/guardian can be reached in case of emergency.
I give permission for my child to go on field trips. I release 24/7 Nanny and individuals from liability in case of accident during activities related to 24/7 Nanny, as long as normal safety procedures have been taken.
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Document Name: Child Emergency Contact Form
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