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'I do hereby state that I have legal custody of the aforementioned
Minor. I grant my authorisation and consent for Just4Keepers Head Coach
(hereafter “Designated Adult”) to administer general first aid treatment
for any minor injuries or illnesses experienced by theMinor. If the
injury or illness is life threatening or in need of emergency treatment,
I authorise the Designated Adult to summon any and all professional
emergency personnel to attend, transport, and treat the minor and to
issue consent for any X-ray, anaesthetic, blood transfusion, medication,
or other medical diagnosis, treatment, or hospital care deemed advisable
by, and to be rendered under the general supervision of, any licensed
physician, surgeon, dentist, hospital, or other medical professional or
institution duly licensed to practice in the state in which such
treatment is to occur. I agree to assume financial responsibility for
all expenses of such care.

It is understood that this authorisation is given in advance of any such
medical treatment, but is given to provide authority and power on the
part of the Designated Adult in the exercise of his or her best judgment
upon the advice of any such medical or emergency personnel'