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APPLICATION & EMERGENCY CONTACT/PARENTAL CONSENT FORM Child's Name: Birth date: Home School District: County: Child Lives with Mom: Dad: Both: Primary Language: Mothers Name/Legal Guardian: Home Phone:
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How to Fill Out Application & Emergency Contact:

01
Start by gathering all the necessary information: Before you begin filling out the application and emergency contact form, make sure you have all the required information at hand. This may include personal details such as your full name, address, phone number, email address, and social security number. Additionally, you will need the contact information of your emergency contacts, such as their names, phone numbers, and relationships to you.
02
Follow the instructions: Read through the application form carefully and follow the provided instructions. Pay attention to any specific formatting requirements or additional information that may be needed. This will ensure that you provide all the necessary details and avoid any delays in processing your application.
03
Provide accurate personal information: Accuracy is crucial when filling out an application form. Double-check all the information you provide to ensure that it is correct and up to date. Any mistakes or omissions could cause complications in the future. Take your time to review your responses before submitting the form.
04
Include relevant emergency contact details: The emergency contact section typically asks for the names, phone numbers, and relationships of two or more individuals who can be contacted in case of an emergency. Choose contacts who are readily available and can be reached easily. It is advisable to select individuals who are aware of your personal circumstances and would be able to make decisions on your behalf if necessary.

Who needs Application & Emergency Contact information?

01
Job applicants: When applying for a job, employers often require applicants to fill out an application form, which may include a section for emergency contact information. This information allows employers to reach out to your emergency contacts in case of an unforeseen event or emergency during your employment.
02
Health facilities: Whether you are visiting a doctor's office, hospital, or any other healthcare facility, they may require you to complete an application form that includes emergency contact details. This is done to ensure that there is someone who can be contacted in case of a medical emergency or if any important decisions need to be made regarding your health.
03
Educational institutions: Students enrolling in schools, colleges, or universities are usually asked to provide emergency contact information. This helps the educational institution to promptly inform the designated person in case of any emergency situations occurring during school hours or while participating in extracurricular activities.
In conclusion, filling out an application and emergency contact form requires attention to detail, accuracy, and providing all the necessary information. This information is needed by employers, health facilities, and educational institutions to ensure your safety and well-being in case of any unforeseen circumstances.
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Application & emergency contact refers to the process of submitting necessary information and contacts in case of an emergency.
All individuals or entities involved in a specific program or activity are required to file application & emergency contact.
You can fill out application & emergency contact forms online or by submitting physical forms with the required information.
The purpose of application & emergency contact is to ensure that necessary information is readily available in case of an emergency during a program or activity.
Information such as personal details, emergency contact information, medical conditions, and relevant details must be reported on application & emergency contact forms.
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