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UNIVERSAL MEDICAL INFORMATION EMERGENCY CONTACT / RELEASE AND CONSENT FORM ST. MARY SCHOOL 30 LYNDON AVENUE LOS GATOS, CA 2016 2017 STUDENT INFORMATION Last Name First Name Middle Name Grade Homeroom
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How to fill out emer-evac15-16pg1 - stmaryslg:
01
Start by entering the required personal information in the designated fields. This may include your name, address, phone number, and emergency contact details.
02
Next, provide any medical information that may be relevant during an emergency evacuation. This can include allergies, medical conditions, and required medications.
03
In the event of a special needs requirement, indicate any accommodations that may be necessary during an evacuation, such as mobility aids or communication needs.
04
If applicable, fill out the section regarding dependent information. This can include the names and ages of any dependents who may be part of your household during an evacuation.
05
Finally, review the form for accuracy and completeness before signing and dating it.
Who needs emer-evac15-16pg1 - stmaryslg:
01
Individuals living in areas prone to natural disasters or emergency situations may need to fill out this form. It helps emergency responders understand their specific needs and requirements during an evacuation.
02
People with medical conditions, allergies, or special needs that may require assistance during an emergency evacuation may also need to complete this form.
03
Families with young children or elderly relatives who may require additional support or have specific needs during evacuation should also consider filling out this form.
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What is emer-evac15-16pg1 - stmaryslg?
Emer-evac15-16pg1 - stmaryslg is an emergency evacuation form for St. Mary's Lutheran School.
Who is required to file emer-evac15-16pg1 - stmaryslg?
All staff, students, and visitors at St. Mary's Lutheran School are required to file emer-evac15-16pg1 - stmaryslg.
How to fill out emer-evac15-16pg1 - stmaryslg?
To fill out emer-evac15-16pg1 - stmaryslg, individuals must provide their personal information, emergency contact details, and any special medical needs or accommodations.
What is the purpose of emer-evac15-16pg1 - stmaryslg?
The purpose of emer-evac15-16pg1 - stmaryslg is to ensure that all individuals at St. Mary's Lutheran School can be safely evacuated in case of an emergency.
What information must be reported on emer-evac15-16pg1 - stmaryslg?
Information such as name, contact details, emergency contacts, medical needs, and any other relevant details must be reported on emer-evac15-16pg1 - stmaryslg.
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