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Diocese of Fort Wayne South Bend St. Louis Academy Emergency Information The information below must be kept on file in the school office. Complete this form for each child and send it back to school
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How to fill out an emergency form - English:

01
Start by obtaining the emergency form. This can typically be found at your workplace, school, or any other relevant organization that requires emergency information.
02
Begin by providing your personal details, such as your full name, date of birth, and contact information. Make sure to include phone numbers where you can be reached during emergencies.
03
Indicate your current address, including the street name, apartment number (if applicable), city, state, and zip code. This is crucial as it helps emergency responders locate you quickly.
04
In the next section, specify your emergency contacts. Include the names, phone numbers, and their relationship to you. These should be people who can be easily reached in case of an emergency.
05
Provide information about any known medical conditions or allergies that you have. This is vital for emergency personnel to be aware of, as it can significantly impact the type of care you receive during an emergency.
06
If you are taking any medications regularly, list them along with the prescribed dosage. This information can be crucial in case of a medical emergency, enabling medical professionals to provide the most appropriate treatment.
07
If you have any specific instructions or preferences during an emergency, such as religious or dietary considerations, note them down. It is important to communicate any special needs or requirements to ensure your safety and well-being.
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Lastly, sign and date the form, indicating that the information provided is accurate to the best of your knowledge. Remember to review and update your emergency form as necessary, particularly if any of your personal or medical information changes.

Who needs an emergency form - English?

01
Employees: Many workplaces require their employees to fill out emergency forms to ensure their safety and provide timely assistance during emergencies.
02
Students: Schools and educational institutions often require students to complete emergency forms, enabling them to act promptly in case of any unforeseen circumstances.
03
Organizations and Clubs: Various organizations, such as sports clubs, community centers, and volunteer groups, may request emergency forms to have the necessary information readily available in case of emergencies.
04
Families: It is advisable for families to maintain emergency forms for each family member, as it can help emergency responders during crises and facilitate communication with relatives or guardians.
Remember, emergency forms are designed to prioritize your safety and well-being in critical situations, so it is essential to fill them out accurately and keep them up to date.
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Emergency form is a document used to report critical information in case of an emergency.
All individuals and organizations are required to file an emergency form.
To fill out an emergency form, you need to provide necessary information such as contact details, emergency contacts, medical information, etc.
The purpose of emergency form is to ensure that essential information is readily available in case of an emergency.
Information such as personal details, emergency contacts, medical history, allergies, medications, etc. must be reported on emergency form.
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