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CHAPEL HILL CHRISTIAN SCHOOL (Please also fill out reverse side) Grade: 1516 Emergency Contact and Medical Information for a Child M Child's Name Date of Birth Parent×Guardian Name F Parent×Guardian
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How to fill out emergency contact form front:

01
Start by clearly labeling the top of the form with "Emergency Contact Information" or a similar title.
02
Begin with personal information such as your full name, address, phone number, and email address. This will make it easier for emergency responders to identify you in case of an emergency.
03
Next, provide the details of your primary emergency contact. Include their name, relationship to you (e.g., spouse, parent), phone number, and any additional contact information that may be relevant.
04
If you have a secondary emergency contact, include their information as well. This can be someone else who should be contacted if your primary contact is unavailable.
05
In some cases, there may be specific medical or health-related information that should be included, such as allergies, chronic health conditions, or medications. If applicable, provide this information on the form.
06
Consider including any additional notes or instructions that may be helpful for emergency responders or medical professionals. For example, if you have a preferred hospital or doctor, you can mention it here.
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Finally, review the form to ensure that all the information you have provided is accurate and up to date. Make any necessary corrections or updates before submitting the form.

Who needs emergency contact form front:

01
Individuals who have a medical condition or are at higher risk of emergencies may need to fill out an emergency contact form. This can include people with chronic illnesses, elderly individuals, or individuals who engage in high-risk activities.
02
Students, especially those who participate in school activities or sports, may be required to have an emergency contact form on file. This ensures that school staff can contact the appropriate person if an emergency occurs.
03
Employees may need to fill out an emergency contact form as part of their employment process. This allows employers to reach out to someone in case of an on-the-job emergency or in situations where the employee is unable to communicate.
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