I , the undersigned parent/guardian of the aforementioned STUDENT, a minor child, do hereby consent to any emergency X-ray, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable by, and is rendered by or under the general or special supervision of any physician and/or surgeon licensed by a recognized state approved licensing authority. It is understood that this authorization is given in advance of any specific diagnosis, treatment, or hospital care being required, but is given to provide authority and power on the part of the aforesaid agent(s) to give specific consent to any and all such diagnosis, treatment, or hospital care which the aforesaid agent(s) in the exercise of his/her best judgment may deem advisable; and neither said agent(s) nor any individual or organization involved assumes any financial responsibility for exercising this action. This authorization is given pursuant to the laws and statutes of the State of Florida and is to be considered effective in any state or other location where the STUDENT is participating in TCYSF sponsored or approved activity. By submitting to this form, you agree to these conditions. By submitting this application, you hereby agree to our waiver. For more information on the waiver click here. AFTER SUBMITTING THIS FORM YOU WILL HAVE THE OPPORTUNITY TO PAY FOR ONE OR MORE SESSIONS.