English Form

Spanish Form

In the event of a medical emergency and if reasonable attempts to contact me using the telephone numbers listed above are unsuccessful - I, as parent or legal guardian of the above student, do hereby authorize treatment by a licensed medical physician of my child in the event of a medical emergency that, in the opinion of the attending physician, may endanger his/her life, cause disfigurement, physical impairment, or undue discomfort if delayed. I understand that transfer of my child to any hospital reasonably accessible will be at my expense. 

The medication form (English / Spanish) policy will be distributed to parents or guardians of each student within 15 days of enrollment.