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Consent for Emergency Medical Treatment

Easton USD449 Emergency Medical Treatment

In the undersigned, being the Parent or Legal Guardian of, a minor, do hereby consent to the securing of emergency medical treatment, including the necessary transportation to receive such treatment, for said student, by Tim Beying, the superintendent of the schools of Unified School District number 449, Leavenworth County, Kansas, or his designee. Dated this day of 2019 and valid for the remainder of the 2019-2020 school year or until specifically revoked. I agree to pay and assume all responsibilities for medical and hospital expenses and any emergency services incurred on behalf of my child.