Emergency Treatment Authorization
AS THE SWIMMER OR PARENT OR GUARDIAN, UNDER CIRCUMSTANCES BELOW, I HEREBY AUTHORIZE THE ADULTS IN CHARGE OF THE TEAM/CLASS, TO SECURE SUCH MEDICAL ADVICE AND SERVICES AS MAY BE DEEMED NECESSARY FOR THE HEALTH AND SAFETY OF MYSELF OR MY DAUGHTER/SON (OR WARD)
AND I AGREE TO ACCEPT FINANCIAL RESPONSIBILITY IN EXCESS OF THE BENEFITS ALLOWED BY PROVINCIAL HEALTH INSURANCE PLAN:
1. Where health and well being of the person is involved;
2. Where medical advice has been such that further services are required, services which require the consent of the parent or guardian;
Where all attempts to contact the parent or guardian have failed or where due to the nature of the emergency, there is insufficient time to contact such parent or guardian.
IT SHALL BE AT THE DISCRETION OF THE ADULTS IN CHARGE OF THE TEAM/CLASS AS TO WHAT STEPS MUST BE TAKEN FOR THE WELFARE AND SAFETY OF MYSELF OR MY DAUGHTER/SON.