Consent to Medical Treatment and Release of Medical Information

Consent for Treatment Authorization
I, as the parent or guardian of the student athlete specified above, understand and acknowledge that my child may need emergency or non-emergency treatment while attending Killington Mountain School, Killington Mountain School Camps, KMS/KSC Development Programs or any Killington Mountain School sponsored sports, trips or activities. I authorize the school, through its nurses, trainers, coaches, administrators and faculty to administer such first aid or other minor medical treatment, including over-the-counter medications, which shall be deemed best under the circumstances, and I consent for my child to receive such treatment. I understand the school will attempt to notify me, or my spouse, in the event of an emergency requiring immediate medical care, and if the school is unable to notify me, I consent to have my child treated by a duly qualified physician at the nearest emergency facility. I will not hold Killington Mountain School financially responsible for the emergency care and/or transportation of my child. I acknowledge that it is my responsibility to keep my child’s health records current. I also understand the obligation to provide medical insurance for my child rests with me as a parent or guardian.
Release of Medical Information Authorization
I, as the parent or guardian of the student athlete specified above, understand and acknowledge that my child may need emergency or non-emergency treatment while attending Killington Mountain School, Killington Mountain School Camps, KMS/KSC Development Programs or any Killington Mountain School sponsored sports, trips or activities. I authorize the school, through its nurses, trainers, coaches, administrators and faculty to administer such first aid or other minor medical treatment, including over-the-counter medications, which shall be deemed best under the circumstances, and I consent for my child to receive such treatment. I understand the school will attempt to notify me, or my spouse, in the event of an emergency requiring immediate medical care, and if the school is unable to notify me, I consent to have my child treated by a duly qualified physician at the nearest emergency facility. I will not hold Killington Mountain School financially responsible for the emergency care and/or transportation of my child. I acknowledge that it is my responsibility to keep my child’s health records current. I also understand the obligation to provide medical insurance for my child rests with me as a parent or guardian.
SF Data