Kenston High School Speech and Debate

Transcription

1 Kenston High School Speech and Debate Welcome to the KHS Speech and Debate team! Speech and debate is an academic competition against other high schools that focuses on public speaking. Some events also involve debating, writing, intellectual, acting, or interpreting skills. Similar to a swim or track team, you compete as an individual (or with a teammate) in one or two of the following events: Lincoln-Douglas Debate (1 vs. 1), Public Forum Debate (2 vs. 2), Congressional Debate, U.S. Extemporaneous Speaking, International Extemporaneous Speaking, Original Oratory, Informative Speaking, Declamation, Dramatic Interpretation, Humorous Interpretation, Duo Interpretation, and Program Oral Interpretation. Besides looking great on college applications and resumes, speech and debate teaches you to be a polished public speaker, to develop argumentative writing and research skills, and to increase your confidence. If you are willing to put in the time and effort to join a group of academic, independent, hard-working, talented students, we would love to have you! We are members of the Ohio High School Speech League: ohssl.org and the National Speech and Debate Association: speechanddebate.org Coaches Steve Voudris: stephan.voudris@kenstonapps.org Fred Snook: huck4700@gmail.com Communication Remind App: to

2 Tournament Schedule Date: Location: Departure time: October 22 Vermilion - novice only* 6:30 am October 29 Edison* 6:30 am November 5 Laurel 7:15 am November 12 Brecksville-Broadview Heights 7:15 am November 19 Mentor 7:00 am December 3 Olmsted Falls 7:00 am December 10 Vermilion* 6:30 am December 17 Hathaway Brown 7:15 am January 7 Canfield* 6:45 am January 14 Lincoln West 7:00 am January 21 Berea-Midpark 7:00 am January 28 Solon 7:30 am February 4 State Qualifier: Berea-Midpark 7:00 am February 11 National Qualifier (Congressional Debate): Lutheran West TBD February National Qualifier (All other events): St. Ignatius TBD March 3-4 States: Berea-Midpark/Olmsted Falls* TBD March 11 Novice States: Medina* TBD June Nationals: Birmingham, Alabama* TBD *these nights we will stop for dinner on the way home! 2

3 Events Students need to choose at least one of the following events in which to compete. If you are not sure in which event you want to compete, talk to the coaches and last year s team members. Try different events at practices or a tournament. Students may change categories anytime. You should consider having a second event in order to double-enter at some tournaments if needed, or so you can participate in your second event if the tournament limits our entries in a particular event, or your partner (if you do Duo Interp or Public Forum) cannot compete that weekend. Lincoln-Douglas Debate In this one-on-one format, students debate a new values topic every two months, ranging from individual freedom versus the collective good to economic development versus environmental protection. Students use evidence gathered prior to the debate. An entire debate is roughly 40 minutes and consists of constructive speeches, rebuttals, and cross-examination. Public Forum Debate Opposing teams of two debate a new topic every month concerning a current event. After a coin toss, the winners choose which side to debate (PRO or CON) or whether to speak first or last, and the other team receives the remaining option. Students present cases, engage in rebuttal and refutation, and also participate in a crossfire (similar to a cross examination) where they question the opposing team. Students use evidence gathered prior to the debate. An entire debate is roughly 40 minutes. Congressional Debate Students generate arguments on a series of student-written legislation that is debated state-wide that week. Students alternate delivering speeches for and against the topic in a classroom that simulates the U.S. Congress. An elected student serves as a presiding officer to ensure debate flows smoothly. Students are assessed on their research, argumentation, and delivery skills, as well as their knowledge and use of parliamentary procedure. U.S. Extemporaneous Speaking & International Extemporaneous Speaking Students are presented with a choice of three questions related to current events and, in thirty minutes, prepare a seven-minute memorized speech answering the selected question. Students may consult news articles they gather prior to the contest. U.S. Extemp topics range from political matters to economic concerns to U.S. foreign policy. International Extemp topics range from country-specific issues to regional concerns to foreign policy. Original Oratory Students deliver a memorized, self-written, ten-minute speech on a topic of their choosing. Competitors craft an argument using evidence, logic, and emotional appeals. Topics range widely, and should be persuasive in nature. No more than 150 words of quotations from any source may be used. 3

4 Informative Speaking Students author and deliver a memorized ten-minute speech on a topic of their choosing. Competitors create the speech to educate the audience on a particular topic. All topics must be informative in nature; the goal is to educate, not to advocate. Limited visual aids are permitted, but not required. Declamation Students deliver a speech that has been delivered by someone else, from the historical greats to contemporary public orations (such as commencement addresses or speeches to the UN or Congress) to delivering another student s original oratory from a previous season. Students have ten minutes to perform a memorized speech with an introduction. The goal is for the student to perform another speaker's message in their own voice. (This is the only listed event for which you cannot qualify for Nationals but is a great event for first time competitors). Dramatic Interpretation and Humorous Interpretation Using a play, short story, or other published work, students perform a memorized selection of one or more portions of a piece up to ten minutes in length. Competitors may portray one or multiple characters. No props or costumes may be used. Performances include an introduction written by the student to contextualize the performance, and state the title and the author. With a spotlight on character development and depth, Dramatic Interpretation focuses on the student s ability to convey emotion through the use of a dramatic text. Humorous Interpretation is designed to test a student s comedic skills through script analysis, delivery, timing, and character development. Duo Interpretation Two competitors deliver a ten-minute performance of a portion of a published play or story. Using off-stage focus, competitors convey emotion and environment through a variety of performance techniques focusing on the relationships and interactions between the characters. Each student may portray one or more characters. The piece may be serious or humorous in nature. No props or costumes are used. Performances include an introduction written by the students to contextualize the performance and state the title and the author. Program Oral Interpretation Using selections from prose, poetry and drama, students create a ten minute performance around a central theme. Program Oral Interpretation is designed to test a student s ability to intersplice multiple types of literature into a single, cohesive performance. A manuscript is required and may be used as a prop within the performance if the performer maintains control of the manuscript. Performances include an introduction written by the student to contextualize the performance and state the title and the author of each selection and may include transitions between each piece. Source: Modified from NSDA website 4

5 Practices - KHS A112 (Computer Lab) Through September, Debate practices will be Mon. and Wed. from 7:00-8:30pm and Speech practices normally will be Mon,, Wed., and Fri. from 2:30-4:00pm. Some further Speech practices can be arranged with Mr. Snook. Sometimes practices will be focused on certain events. Other times practices are open for you to discuss ideas with your coaches on a first come first served basis. Other times we will have a sign up sheet for special sessions. We will announce the practice schedule for the remainder of the season once we learn who is interested in each event. You should attend as many practices as possible. Some come almost every session; others come once or twice a week. Debaters and extempers need to come to practice more frequently than those in other events because more brainstorming, research, and on-your-feet thinking is involved throughout the season. After tournaments, make sure you bring your ballots to your next practice so a coach can review them with you. We have only five weeks until the first novice tournament and six weeks until the first varsity tournament. This is more than enough time as long as you don t wait until the last minute to prepare. Here is a timeline by event to avoid any last minute panic: Debate (Public Forum, L-D, Congressional): Learn basic debate techniques at practices by 9/30; brainstorm ideas and conduct preliminary research by 10/7; write constructive/sponsorship speeches by 10/14; participate in practice debates/speeches by 10/21. Original Oratory, Informative: Pick two or three potential topics and discuss with a coach by 9/23; finalize topic, research and draft outline for speech by 9/30; complete first draft of speech by 10/7; finalize wording of speech and develop gestures and which words to emphasize by 10/14; complete memorization by 10/21. Dramatic, Humorous, Duo: Select two or three possible cuttings and discuss with a coach by 9/23; select the best material and cut it down to ten minutes by 9/30; work on character development, gestures and blocking by 10/7; draft introduction and work on memorization and practicing by 10/14; complete memorization by 10/21. POI: Pick two or three potential themes and discuss with a coach by 9/23; search for possible poems, prose, or plays by 9/30; organize the POI and draft transitions by 10/7; work on gestures, vocal variation memorization and practicing by 10/14; complete memorization by 10/21. Declamation: Select two or three possible speeches (either famous speeches or prior years Original Oratories) and discuss with a coach by 9/23; finalize selection by 9/30; work on gestures and vocal variation by 10/7; work on memorization and practicing by 10/14; complete memorization by 10/21. US &. International Extemp: Begin getting familiar with current events and decide in which category of extemp you want to participate by 9/23; develop a filing system for articles with your extemp teammates and start pulling articles for the team files by 9/30; continue pulling articles and learn the format and techniques of a great extemp speech 5

6 by 10/7; continue pulling articles and give practice speeches thereafter. Internet usage is allowed, but not every tournament host will be able to provide it. Have your own files ready for your use. Signing-up for Tournaments Once you return your parent permission form, you will receive a link to SignUp Genius by to sign up for tournaments. Deadline to sign-up (or cancel an earlier sign-up) is 9pm on the Monday before each tournament. Please indicate what events you are doing at the tournament or indicate that you are not able to attend the tournament. We will try to accommodate your preference, but sometimes there are limits to the number of students that we are allowed to bring in each event and the coaches may need to ask you to do a different event (if you have one) that week. Tournament Clothing Please dress appropriately and professionally for tournaments! Dress as if you were interviewing for a job at a corporation. Males: please wear a suit (or at the very least a long sleeve dress shirt, slacks and tie), dark socks and dress shoes. Females: please wear a pants-suit, dress or skirt. All hair must be pulled off the face so that facial features can be seen. Don t wear anything that distracts the judges (piercings, clothes too short or too tight, etc). If you re not sure about your clothing, ask one of the coaches. Tournament Day We compete in more than a dozen Saturday tournaments at schools in Northeastern Ohio from late-october through mid-february with the goal of qualifying for the State Tournament held in early March. Competition days start with an early morning bus ride and end when we return late afternoon. Usually schools are at each competition. You will typically debate or present your speech four times per tournament, each time before a different judge and against different competitors. Both individual and top school awards are given at each tournament. Students are to arrive at the school 10 minutes before the scheduled departure time. This gives us time to make sure everyone is present and to review any last minute information. Students should bring money to purchase lunches, necessary event materials and any other personal supplies. We will choose a home base table in the waiting area, which is usually the cafeteria. Usually, up to six competitors will be in the room with you for speech events each round. Cell phones must be turned off (no vibrations) so that they do not interrupt a round. Failure to do so will incur a severe penalty by the tournament. Everything you do is watched by the judges, sometimes from the time you enter the building. Be respectful, applaud when appropriate, and be ready to perform when your number is called. The 6

7 judges will score and comment on what they see at the time of your performance. Most judges are volunteers and are giving up a Saturday to give you feedback and to help you prepare for future tournaments. Some judges are extremely experienced and some are new to the job. Judges have various approaches to their job: some will smile and make you feel comfortable, others won t even look interested. Don t worry about the judges facial expressions; just do your best and enjoy the experience. All judges should be shown respect and thanked sincerely when you leave the room. Don t be phony. You represent Kenston, so win with humility and lose with grace. Sample Tournament Schedule (varies for each tournament) 7:00 am - board bus wearing your competition clothing. 8:00 am - arrive at event - get your competitor number from the coach-- an introductory meeting will be held to discuss particulars of the tournament. 8:30 am - Extemp speakers get their topics and have 30 minutes to prepare. 9:00 am - first round starts - look for event/classroom on a wall posting- make sure you arrive at your room early - take your ballots that the coach gave you with you to the room - make sure cell phones are OFF. 10:30 am - second round starts - same routine as first round. *After second round, IF there is time, grab a quick lunch. Noon - third round starts- same routine as first round. 1:30 pm - fourth and final round starts- same routine as first round. If there are finals or a power round in which you are not participating, please watch a round in either your event or another event in which you might have a future interest. 3:00 pm - wait for announcements to tell you where to go for awards (usually the auditorium) - sit as a team! 3:30 pm - Awards - whenever someone on your team places EVERYONE on the team stands up and claps! EVERYONE must also stand up and clap for first place (regardless of which school). You are encouraged to stand for other competitors in your event when they are announced. 5:00 pm - board bus for return trip to KHS. Your ballots and rankings will be distributed on the bus. Study the judge s comments and use them to prepare for the next tournament! 7

8 How to Qualify for NSDA Nationals There is only one tournament at which you can qualify for the National Tournament of The National Speech and Debate Association: Big Districts, will be held Feb , 2017 for all events except Congressional Debate (held on Feb. 11). Only two or three competitors qualify for nationals from the Cleveland area in each event (except for Congressional Debate, in which a few more might qualify). The exact number depends on the number of competitors in each event. For L-D and Public Forum, you are disqualified once you have two losses. For speech, you are disqualified once you have placed in the bottom half of the round twice (generally, 4th-6th place ranking in a round). Nationals will be in Birmingham, Alabama in June this season, and Ft. Lauderdale, Florida next season. Because the number of students that we may bring is limited, the coaches will announce in early February who will be attending this tournament. The more NSDA degrees the team earns, the more students we may bring to Big Districts, and the more judges we will need. How to Qualify for States For all events other than Congressional Debate, you can qualify for the March 3-4, 2017 State Tournament by (1) earning a bid during at least four tournaments prior to districts, (2) qualifying at Little Districts, or (3) qualifying at Big Districts. Bids - Tournaments through January 28. If you do extremely well during at least four tournaments during the regular season, you may qualify for States. How well you need to do to earn a bid depends on the number of competitors in your event at that tournament. You might have to come in first place (if there are only a few competitors) or somewhere in the top six (if there are many competitors). To avoid the risk of having a bad day at districts, you want to do everything possible to try to qualify for States via this method (which means practicing hard and going to many tournaments). Little Districts - February 4. Most Kenston students who qualify for States have qualified through this method. Roughly one-third of the competitors in each event will qualify for States here. The exact number is based on the number of competitors in each event. We are limited to bringing 39 entries to this tournament and no more than 4 in each event. If we exceed this number, selection will be determined by the coaches. Big Districts - February This is the most difficult way to qualify for states because of tougher competition than Little Districts and fewer qualifiers for States. Big districts is the tournament that determines who qualifies for nationals. If you make the final round (top six for the Speech events or top eight for L-D or Public Forum), you will qualify for the state tournament. Congressional Debate. The coaches will decide who (if anyone) has done well enough during the year to be given the privilege of attending the state tournament. There are limits to the number of students that each high school may bring in this category. 8

9 Expectations 1. Set goals! Regardless of whether you want to overcome a fear of speaking in front of an audience, to improve your public speaking skills, to qualify for States, to place at States, or to qualify for Nationals, the coaches are here to help you achieve your goals. We just ask that you try your best and put in a full effort. 2. Rehearse as often as possible! The more you practice and prepare, the stronger you will become at your event. Attend AT LEAST one or two school practices per week! You should always be willing to practice in front of an audience and be the audience for your teammates. But you need to rehearse at home too and should do so daily! Some people rehearse while in the shower, doing chores, or walking to school. Use a mirror! Video yourself! Likewise, those doing extemp and debate can research, write, and practice at home or a library. 3. Partners. Two events require you to have a partner: Public Forum Debate and Duo Interp. If you are interested in competing in either of these events but you do not have a partner, please let Coach Voudris know and he will try to pair you with another student. The coaches reserve the right to make the ultimate decisions concerning who is partnered with who, although they will certainly take into account the students preferences. Partners need to have the same commitment and goals. 4. Be a team player! Veteran members are expected to lead by example and help and encourage those new to the team. Prepare a second event in case we have too many team members in one category or not enough team members in another category, the team needs you to double enter (i.e., do both events at the same tournament), or your partner (if you do Duo Interp or Public Forum) cannot compete that weekend. You may find that you are more successful and enjoy your second event more than your main event. 5. Communicate with your coaches! Check your ! Let Coach Voudris know more than a week in advance whether or not you will be able to participate at each tournament. We need to know how many students are going so that we can line up enough judges. If you become ill at the last minute, text or Coach Voudris immediately. If you want to try a new event, just let your coaches know! Make sure to contact Coach Voudris should any other unexpected problem arise. We use the Remind App and to communicate with you. To join the Remind App, to the number Go to tournaments! There is no pressure to attend every tournament; however, the more tournaments you enter, the more successful you will become and the greater the possibility that you will qualify for the State Tournament. If you become one of the best in the Cleveland area, you could qualify for the National Tournament to be held in Birmingham, Alabama in June Next season, Nationals will be in a city even more exciting: Fort Lauderdale, Florida in June

10 7. Don t be late! Be ready to get on the bus 10 minutes prior to the departure time for tournaments. If you schedule a special practice session via an appointment with a coach, be 5 minutes early. At tournaments, make sure you are in the room where you are scheduled to compete several minutes early. Give yourself plenty of time to find the room. Some schools are like a maze and it may take much longer to find the room than you would expect. Never be even a minute late! If you are, you run the high risk of making the judge upset with you, which could lower your ranking in the round. 8. Stay near home base. When not eating lunch or competing, stay near home base, which will be a table usually in the cafeteria. 9. Represent Kenston with pride! Proper behavior is expected at all times. Win with humility and lose with grace. 10. Don t blame the judge! Instead of complaining about judges scoring decisions, we need to focus on their comments and develop strategies on how to improve our performance so that the next time we get that judge we will be more successful. If you are going to gripe, however, make sure you save it for the return bus trip since you never know who might hear you at a tournament. 11. Have fun! Cost We need $50 for returning high school team members and $70 for new high school members (because returning high school members have already paid for lifetime membership in the National Speech and Debate Association) as parent contributions. KHS pays for our bus transportation to certain tournaments, the coaches stipend, and our school meeting space. The remainder of our costs (such as district, state and national association fees, your registration cost for each tournament, and your membership and awards from the National Speech and Debate Association) are partially paid via these parent contributions. You are separately responsible for lunch on the tournament days (lunch is sold at the tournaments). You are also responsible for lodging and travel expenses for any overnight trips if the team does not raise enough money through fundraising or donations. Donations We are actively looking for donations to help offset costs of our team, such as supplies, scripts, travel expenses, team t-shirts, Varsity letters, etc. All donations would be used exclusively for the Speech and Debate team. Suggested levels of donations are $100, $250, or $500, although any amount would be appreciated. Checks must be made payable to the Kenston Board of Education and given to Mr. Voudris. Thank you to Academic Boosters, Student Council, PTO, NHS and the many parents and other organizations whom have donated in the past. 10

11 Parent Volunteers We desperately need parent volunteers! Please ask your parents or another adult to please volunteer in any of the following categories and to send Coach Voudris an if they are willing to help. Judges: We need your parents or another adult to judge for us in at tournaments during the season. The more students that we bring to a tournament, the more judges we need to bring. No previous experience is required. Instructions will be provided. Judge Coordinator: We need one parent to be in charge of asking other parents to judge at tournaments and ensure that we have enough judges for each tournament. Fundraising: We need at least one parent to be in charge of fundraising. The coaches need to spend their time coaching. The contributions discussed above are not enough to cover all of our expenses. As the team grows, we hope possibly to attend an out-of-state tournament each year and qualify students to the national tournament, which will require us to charter a bus and incur numerous other travel expenses. Any fundraising needs to be approved by the school. Banquets: We need one parent to organize our end of the season banquet. For the past few years, a pot-luck banquet has been held in the Betty Patton Room at the Middle School in March. 11

12 Student Leadership Positions The team will elect the following student leadership positions, most likely at practice immediately after school on Friday Sept. 30: Team Captain: A junior or senior who has competed at least two previous seasons. The President must be willing to assist the coaches with whatever tasks need to be completed. This person should also mentor the other members on the team by providing advice and answering questions. The President is in charge of maintaining a positive team spirit; for example, by organizing team building or spirit events. The President is also in charge of arranging for a home base at all competitions. This person should be focused on the team, frequently attend practice, and be willing to help anyone! Secretary/Fundraising: A junior or senior who has competed at least one previous season. This person is in charge of writing thank you notes, communicating with team members, coordinating fundraising, and completing any other necessary paperwork. Publicity: A sophomore, junior or senior who has competed at least one previous season. This person is in charge of increasing awareness of the speech and debate team throughout the high school. Possibilities include posters for lockers, t- shirts, and any other ideas that are approved by a coach. This person should be the idea generator and get help from teammates. Middle School Liaison: A junior or senior who has competed at least one previous season. The person is in charge of coordinating team members to assist the middle school students to prepare for their tournament and to pair each middle school student with a high school speech and debate team mentor. The coaches might appoint a squad leader for certain events or groups of events, whose primary duty will be to help the novices in the event and encourage the varsity members to practice and attend tournaments. Squad leaders must be available to come to practice frequently. 12

13 Earning a Speech and Debate Letter Letters will be awarded at the season ending banquet. A successful student could earn a Letter in one year. A student who actively participates on the team all four years will automatically earn a Letter. A total of 20 points must be earned to Letter in Speech and Debate. Your points accumulate each year until you earn a Letter. Points are awarded as follows: 5 points for each year of active membership (attend at least 8 tournaments) 3 points for earning National Speech and Debate Association membership 2 points for every 1st place result at a local tournament 1 point for every 2nd-6th place result at a local tournament 5 points for qualifying for States 5 points for being NDSA District Champion 10 points for qualifying for Nationals 2 points for breaking at States 5 points for placing 2nd-6th at States 10 points for being a State Champion 13

14 Current Kenston Cumulative Top NSDA Point Earners (Degree of Excellence or higher) The National Speech and Debate Association honor society awards points to student members based on their performance at tournaments, public speaking events, and community service. Between one and six points are usually awarded each time you participate in a round of competition (depending on how well you do in each round). Congratulations to our current points leaders from Kenston (as of 8/31/16): 1. Nick Vitello Emma Nidy Savannah Georgian Anna Soryal Megan Herbruck Kim Voudris Morgan Spehar Onur Kardzhala Gillian McMaster Sarah Herbruck Rory McBrady Pedro Michels 150 Coach Bios Stephan Voudris: Steve Voudris is looking forward to his first year coaching Kenston s speech and debate team. He debated for eight years during high school and college, usually competing in Policy Debate, Lincoln-Douglas Debate, and Congressional Debate but also trying Declamation, Dramatic Interp., and Impromptu Speaking. He has been an attorney since 1991 and is a Certified Specialist in Labor and Employment Law. Mr. Voudris is a graduate of Miami University (B.S.) and the University of Texas at Austin School of Law (J.D.). He currently has four kids in the Kenston school district (11th, 8th, 5th, and 2nd grades). C. Frederick Snook: Entering his 40th year of coaching speech and debate, Fred Snook is a legend in the Ohio speech and debate community and was inducted to the Ohio High School Speech League Hall of Fame in After serving as a coach at Crestwood High School for 32 years, Mr. Snook has been coaching at Kenston since Mr. Snook taught Mr. Marchesi (one of Kenston s former speech and debate coaches) at Crestwood H.S., and Mr. Snook s son is currently the speech and debate coach at Vermilion H.S.. Mr. Snook served on the Cleveland District committee for more than 20 years, and was the Chair for more than ten years. He also served on the State committee for six years. He is a graduate of Ohio University. 14

15 KENSTON H.S. SPEECH AND DEBATE INFO SHEET Name: Grade: Address: that you actually check: Phone number with which you text: Name, phone # and of parent or other adult that can help judge at tournaments: Circle which events you are interested in competing this year: Lincoln-Douglas Debate (1 vs. 1) Public Forum Debate (2 vs. 2) Congressional Debate U.S. Extemp. Intern. Extemp. Original Oratory Informative Speaking Declamation Dramatic Interp. Humorous Interp. Duo Interp. Program Oral Interp. I am willing to double enter (i.e., compete in two events) at some tournaments: Yes No If needed, I am willing to compete in Extemp. ( Yes No) or Debate ( Yes No) I have the following goals for this season: What conflicts do you have with after school practices or Saturday tournaments? I am also involved with the following additional extracurricular activities: Enclosed is my check payable to Kenston Board of Education for: $50 returning H.S. members $70 new H.S. members ($5 per student discount if more than one family member is on H.S. team) additional donation of $ (suggested levels are $100, $250, or $500) I agree to comply with the expectations set forth in this packet. Student Signature

16 FIELD TRIP PERMISSION/MEDICAL AUTHORIZATION WHERE: Speech and Debate Tournaments COACH: Stephan Voudris ADDRESS: Various schools in Northeast Ohio GROUP: Speech and Debate DATES: Saturdays in Oct.-March (see schedule) DEPART: Early morning RETURN: Late Afternoon/early evening I GIVE MY SON/DAUGHTER (NAME) PERMISSION TO GO ON THE FIELD TRIPS DESCRIBED ABOVE. IN THE EVENT OF AN EMERGENCY, I CAN BE REACHED AT (PHONE). IF I CANNOT BE REACHED AT THAT NUMBER, PLEASE CALL AT (PHONE). Please list any issues for which we should be aware regarding the student s health or safety: I. GRANT CONSENT IF NONE OF THE ABOVE CAN BE REACHED, I AUTHORIZE TREATMENT AT ANY REASONABLY ACCESSIBLE HOSPITAL. SPECIAL MEDICAL INFORMATION/CONDITION: SIGNATURE PARENT/GUARDIAN ADDRESS II. REFUSAL TO CONSENT I DO NOT GIVE CONSENT FOR EMERGENCY MEDICAL TREATMENT OF MY CHILD. IN THE EVENT OF ILLNESS OR INJURY REQUIRING EMERGENCY TREATMENT, I WISH SCHOOL AUTHORITIES TO TAKE NO ACTION OR TO: SIGNATURE PARENT/GUARDIAN ADDRESS