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EMERGENCY CONTACT / PARENTAL CONSENT FORM 55 PA CODE CHAPTERS 3270.124(a)(b). 3270.181 & 182. 3280.124 (a)(b). 3260.181 & 182. 3290.124 (a)(b). 3290.181 & 182 BIRTHDATE Children IS NAME ADDRESS HOME
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How to fill out emergency contact parental consent:

01
Start by providing your personal information such as your full name, address, and contact details.
02
Next, provide the name and contact information of the child for whom the emergency contact parental consent is being filled out.
03
Specify the relationship between you and the child, such as parent, legal guardian, or temporary guardian.
04
The form may ask for details about the emergency contact person, including their name, relationship to the child, and contact information. Make sure to provide accurate information.
05
If there are any specific instructions or medical conditions that the emergency contact person should be aware of, make sure to provide them.
06
Read through the consent form carefully and ensure that you understand all the terms and conditions. Sign and date the form in the designated areas.
07
Keep a copy of the completed form for your records and submit the original form to the appropriate authority or organization.

Who needs emergency contact parental consent:

01
Parents or legal guardians of minors who are participating in activities or programs where emergency contact information is required.
02
Schools, sports clubs, summer camps, and other organizations that provide services or care to children may require emergency contact parental consent to ensure the safety and well-being of the child.
03
It is important for anyone responsible for the child's welfare to have accurate and up-to-date contact information in case of emergencies.
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Emergency contact parental consent is a form that gives permission for a designated individual to make decisions on behalf of a child in case of an emergency.
Parents or legal guardians of a child are required to file emergency contact parental consent.
To fill out emergency contact parental consent, parents need to provide their contact information, designated emergency contacts, medical information, and consent for emergency medical treatment.
The purpose of emergency contact parental consent is to ensure that there are designated individuals who can make decisions on behalf of a child in case of an emergency when parents or legal guardians are unavailable.
Information such as parent/guardian contact details, designated emergency contacts, child's medical information, and consent for emergency medical treatment must be reported on emergency contact parental consent.
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