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Extended Day Program Emergency Form 20152016 Student Information Students Name DOB Grade Address Phone Parent×Guardian Information Mother×Guardian Name Work # Cell # Email Father×Guardian Name
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How to fill out extended day program emergency
How to fill out extended day program emergency:
01
Start by obtaining the necessary forms from the extended day program. These forms are typically provided at the beginning of the program or can be obtained from the program coordinator or administration.
02
Carefully read all the instructions on the forms to ensure you understand the information required and any specific details that need to be provided.
03
Begin by filling out the personal information section. This usually includes your child's full name, date of birth, address, and contact information. Make sure to provide accurate and up-to-date information.
04
Next, provide emergency contact information. This should include the names and contact numbers of individuals who can be reached in case of an emergency when the parent or guardian is not available.
05
Specify any medical conditions or allergies that your child may have. It is crucial to inform the program staff about any existing medical conditions or allergies, as they need to be prepared to address these situations if they arise.
06
Fill in the authorized individuals section. This is where you list the individuals who are permitted to pick up your child from the extended day program. Include their full names and contact information.
07
If your child requires medication while at the program, there may be a section dedicated to this. Note down any necessary details regarding medication administration, dosage, and instructions for the program staff.
08
Review the completed form for accuracy and completeness. Ensure that all the required fields have been filled out correctly, and double-check for any missing information.
09
Finally, sign and date the form where indicated. By signing, you acknowledge that the provided information is accurate and up-to-date to the best of your knowledge.
Who needs extended day program emergency?
01
Parents or guardians of children enrolled in an extended day program.
02
Children who require supervision and care outside of regular school hours, such as before or after school.
03
Families who may need assistance with child care due to work or other commitments during non-school hours.
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What is extended day program emergency?
The extended day program emergency is a plan put in place to address any unforeseen emergencies or disasters that may occur during the extended day program hours.
Who is required to file extended day program emergency?
All extended day program providers are required to file an emergency plan with the appropriate authorities.
How to fill out extended day program emergency?
Extended day program emergency plans should include information on emergency procedures, contact information, and evacuation routes.
What is the purpose of extended day program emergency?
The purpose of the extended day program emergency is to ensure the safety and well-being of all children and staff participating in the program during emergencies.
What information must be reported on extended day program emergency?
Information that must be reported on the extended day program emergency includes emergency contact numbers, evacuation procedures, and medical information for children.
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