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I/We the undersigned dancer/parent(s)/legal guardian(s) of the registered dancer, do hereby authorize the dance directors, Parish Priest or parents of the group acting in the capacity of activity supervisor/vehicle driver, as agents for the undersigned to consent to medical, surgical or dental examination, treatment, etc. In case of emergency, I/We hereby authorize treatment and/or care of registered dancer at any hospital. If there is an emergency and I/We cannot be reached, please contact the emergency contact person stated below whom is hereby authorized to act in the dancerís behalf.