I give permission for my child to take part in all school activities, including physical education and team sports and school-sponsored trips away from the school premise, and absolve the school (including school officials, teachers, administrators or volunteers) from liability to me or my child because of any injury to my child during any school activities.

I do hereby authorize and consent to any x-ray examination, anesthetic, medical or surgical diagnosis rendered under the gen- eral or special supervision of any member of the medical staff and emergency room staff licensed under the provisions of the Medicine Practice Act or a dentist licensed under the provisions of the Dental Practice Act and on the staff of any general hos- pital holding a current license to operate a hospital from the State of California Department of Public Health. It is understood that this authorization is given in advance of any special diagnosis, treatment or hospital care being required but is given to provide authority and power to render care which the aforementioned physician in the exercise of his best judgment may deem advisable. It is understood that effort shall be made to contact the undersigned prior to rendering treatment to the patient, but that any of the above treatments will not be withheld if the undersigned cannot be reached. I will not hold liable St. Michael’s Christian Academy, St. Michael’s Church, the International Communion of the Charismatic Episcopal Church or any subordinate ministry, or any of its teachers, pastors, staff members or volunteers. This authorization is given pursuant to Section 25.8 of the Civil Code of California and remains effective.

St. Michael’s Academy admits students of any race, color, or ethnicity to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. The school does not discriminate on the basis of race, color, or ethnic origin in the administration of its education policies, admission policies, scholarship programs, athletic and/or other school administrated programs.