CONSENT FOR TREATMENT If, in the judgment of any representative of El Paso Community College, the above student should need
immediate care and treatment as the results of any injury or sickness, I do hereby request, authorize and
consent to such care and treatment as may be given said student by any Physician, Trainer, nurse or
school representative, and I do hereby agree to indemnify and save harmless El Paso CC and any school
or hospital representative from any claim by any person whomsoever on account of such care and
treatment of said student.
Students under 18 years of age must have parent/guardian signature.
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Student’s Signature
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Parent/Legal Guardian Signature
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Date