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201617 EMERGENCY MEDICAL RELEASE FORM and PERMISSION FORM ST. MICHAEL YOUTH MINISTRY A current emergency medical form must be on file in order to participate in St. Michael the Archangel Parish Youth

How to fill out 2016-17 emergency medical release

How to fill out 2016-17 emergency medical release:

1. Start by writing your personal information on the form, including your full name, date of birth, address, and contact information.
2. Provide the name and phone number of your primary physician or pediatrician.
3. Indicate if you have any known allergies to medications, foods, or other substances. If applicable, also list any allergies to latex or other materials.
4. List any chronic medical conditions or illnesses that you have, such as asthma, diabetes, or epilepsy.
5. Include information about any medications that you are currently taking, including the name of the medication, dosage, and frequency of use.
6. If you have any specific medical instructions or restrictions, such as dietary restrictions or physical activity limitations, make sure to note them on the form.
7. Sign and date the form at the designated areas, indicating that you understand the information provided and give consent for medical treatment if necessary.
8. It's important to review the completed form for accuracy and completeness before submitting it.

Who needs 2016-17 emergency medical release:

1. Students or participants of school-sponsored activities: This form is commonly required by schools or educational institutions for students participating in sports teams, field trips, or other extracurricular activities.
2. Summer camp attendees: Many summer camps require parents or guardians to complete an emergency medical release form to ensure the safety and wellbeing of the campers.
3. Employees or volunteers of organizations: Some companies or organizations may require their employees or volunteers to fill out an emergency medical release form to have the necessary information on hand in case of an emergency.

Remember, it is important to check with the specific organization or institution to determine if they require the 2016-17 emergency medical release form and if there are any additional steps or specific instructions for filling it out.

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