My child/children has/have my permission to participate in the M.A.S.T.R. kids programs (After-school and/or Summer). I also grant permission for the use of photos of my child/children to be used by The Shirley Proctor Puller Foundation and/or its agents for public relations purposes on behalf of M.A.S.T.R. Kids and The Shirley Proctor Puller Foundation.
I the undersigned parent/guardian of _________________ a minor, hereby authorize M.A.S.T.R. Kids staff to sign for and authorize admission and treatment of the above-named minor for any emergency medical procedure deemed necessary by the medical staff. I also authorize the physician and medical staff to perform any emergency procedure necessary, and realize that such treatment, not covered by M.A.S.T.R. Kids/TSPPF insurance will be at my/our expense. I have read and thoroughly understand all of the above.