MEDICAL AUTHORIZATION
I
hereby
authorize,
consent
and
direct
the
Creative
and
Performing
Arts
Academy
of
NEPA
(CaPAA
of
NEPA),
its
directors,
officers,
and
employees,
and
any
physician,
hospital,
or
other
health
care
provider
selected
by
CaPAA
of
NEPA
to
take
such
action
as
is
necessary
in
the
circumstances
to
provide
emergency
care
and
related
treatment
to
my
above-‐named
child
in
my
absence,
should
the
need
arise
while
he/she
is
participating
in
the
programs
of
CaPAA
of
NEPA
and
release
them
from
any
liability,
either
personal
or
as
a
professional
in
carrying
out
that
action.
I
hereby
designate
CaPAA
of
NEPA,
its
directors,
officers,
and
employees
as
my
authorized
agent
for
the
signing
of
any
consent
forms
required
by
any
such
health
care
provider
in
connection
with
such
health
care.