Child Care Authorization - Family Ski Meisters printable pdf download

Child Care Authorization - Family Ski Meisters

CHILD CARE AUTHORIZATION

I/We, _____________________________ and ______________________________, the parent(s) or

guardian(s) of the below described minor(s), and legally entitled to give this authorization, grant

_____________________________ temporary authority, limited to the below defined powers, over the

following children:

- _____________________________

The powers granted to said temporary guardian _____________________________ are limited to the

following:

- To seek medical care for the children, including, but not limited to, visits to the doctor

and/or hospital.

- To authorize medical treatment or medical procedures in the event of an emergency

situation.

This grant of authority is effective as of ____/____/____, and shall remain in effect until ____/____/____.

This grant of authority is signed this _____ day of ________________, 2004, in the County of

____________________, State of ____________________.

_______________________________ (Guardian Signature)

_______________________________ (Print Guardian Name)

_______________________________ (Guardian Signature)

_______________________________ (Print Guardian Name)

Child Care Authorization - Family Ski Meisters