1) I/We, the Parents/Legal Guardians of __________________________ (Camper) do hereby authorize Copper Basin Bible Camp, its employees, staff, volunteers, directors, or others acting on its behalf as agents for the above minor child to consent to any x‐ray examination, anesthetic, medical, or surgical diagnosis or treatment at medical care facilities (i.e., hospital, urgent care, doctor's office) which is deemed advisable by any physician or surgeon for my child as named above. I further accept the financial responsibility for all medical attention, which may be needed so long as a licensed and qualified physician or surgeon prescribes this medical attention (i.e. prescribed medicines, x‐rays, medical imaging, or any other procedures).
