National Association of University Women
Youth Conference
Parent Permission Slip
Important!!!!

Slip must be turned in by __June 19, 2010_for your child to attend this conference.

I hereby grant permission for my son/daughter/ward __________________________to participate in the Youth Conference on Saturday, June 19, 2010. I understand that this Youth Conference will be held at El Camino College Compton Educational Center at 1111 E. Artesia Blvd., Compton, California. . Transportation for this activity will be provided by the parent or branch members as authorized by the parent or guardian. The planned activity is scheduled to take place at (time) 8:30 am and end at approximately 1:00 pm_ (time).

I understand that all students participating in this activity will be responsible in conduct to presenters or adult sponsors at all time. It is further understood that students are required to go and return from this event on the same transportation, unless prior arrangements have been made.

Authorization to treat a minor: In the event that I cannot be reached in an emergency. I hereby give permission to the physician selected by the school staff to secure proper treatment for my child.
_______________________________                    __________________
Parent or Guardian                                                    Date

Emergency Contact Person: Name__________________________   Phone#____________

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(Please complete the form below)
AUTHORIZATION TO TREAT A MINOR
I (We), the undersigned parent, parents or legal guardian of _____________________, a minor, do hereby authorize and consent to any x-ray examination, anesthetic, medical or surgical diagnosis and treatment and emergency hospital care which is deemed advisable by and is to be rendered under the general or special supervision of any member of the medical staff and emergency room staff licensed under the provisions of the Medicine Practice Act and on the staff of any acute general hospital holding a current license to operate a hospital from the State of California Department of Public Health. It is understood that efforts shall be made to contact the undersigned prior to rending treatment to the patient, but that any of the above treatment will not be withheld if the undersigned cannot be reached.
This authorization is given pursuant to the provisions of Section 25.8 of Civil Code of California.

Date: _______________ Signature of ___________________________________
Father and/or Mother, or Guardian

Allergies to Drugs or Foods _________________________________________________________