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  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.