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Child's Last Name Child's First Name EMERGENCY CONTACT×MEDICAL INFORMATION 20152016 Child's Name: Birth Date: Teacher: Address: Home Phone: Fathers Name: Work Phone: Cell Phone Fathers Email address:
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How to fill out emergency contact/medical information 2015-2016:

01
Begin by obtaining the required form for emergency contact/medical information. This form is typically provided by your school, workplace, or organization.
02
Start by filling in your personal details. This includes your full name, date of birth, contact information, and any other required identification details.
03
Provide your emergency contact information. This should include the names, phone numbers, and relationships of individuals who can be contacted in case of an emergency.
04
Include any relevant medical information. This may involve disclosing any allergies, medications you are taking, pre-existing medical conditions, or any other pertinent details that would be important for emergency personnel to know.
05
If applicable, indicate any specific instructions or precautions that need to be taken during an emergency situation. For example, if you have a severe allergy, you may need to state what actions should be taken in case of exposure.
06
Review the filled form carefully to ensure that all the information provided is accurate and up-to-date. Any outdated information may hinder the effectiveness of emergency responses.
07
Sign and date the form once you have completed filling out the emergency contact/medical information. Make sure to follow any additional instructions provided, such as obtaining a witness signature if required.

Who needs emergency contact/medical information 2015-2016?

01
Students: Schools and educational institutions often require students to provide emergency contact/medical information. This ensures that the school can quickly reach a designated person in case of an emergency involving the student.
02
Employees: Many workplaces also require employees to provide emergency contact/medical information. This is essential for employers to notify someone in case of an accident, illness, or any other urgent situation involving the employee.
03
Organizations and Events: Various organizations and events, such as sports clubs, community centers, or summer camps, may request participants to provide emergency contact/medical information. This helps organizers respond effectively to any emergency situations that may arise during the event or program.

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