Medical Emergency

The undersigned gives permission to River City Aquatics Inc. its owners and operators to seek medical treatment for the participant in the event they are not able to reach a parent or guardian.  I hereby declare any physical/mental problems, restrictions, or condition and/or declare the participant to be in good physical and mental health.  I request that our doctor/physician ________________ be called and that my child be transported to ______________________ hospital.   Please include physicians’ phone number _______________.