Emergency Care Form

I, the undersigned parent or legal guardian of the below-named child, hereby give permission to Little Hoku Montessori Academy and its staff to take whatever emergency medical actions are necessary to ensure the safety and well-being of my child while attending the program.

I authorize the school to contact Emergency Medical Services (EMS), request ambulance transportation, and allow emergency medical treatment as determined necessary by medical personnel in the event of illness, accident, or injury when I or my emergency contacts cannot be reached in a timely manner.

I understand that I am financially responsible for any medical care and transportation provided.