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Abiding Savior Lutheran School 2016 Medical Release/Emergency Consent Form SUNSHINE CAMP 2016 Child's Name (Last) (First) Child's Grade Fall 2016 Fathers Name Mothers Name Home Address Home Phone
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Start by writing your full name in the designated space.
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Next, provide your date of birth and gender.
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Enter your complete address, including the street, city, state, and zip code.
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Include your primary contact number and an alternate phone number if applicable.
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Provide your email address for communication purposes.
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Indicate your emergency contact person's name, phone number, and relationship to you.
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Specify any known medical conditions or allergies that need to be mentioned on the copy.
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If applicable, list any medications you are currently taking or any specific medical treatments you require.
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Sign and date the form to verify the accuracy of the information provided.

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Emergency medical16 is a document that details an individual's medical history and emergency contacts.
Individuals who are participating in certain events or activities that pose a risk of medical emergencies are required to file a copy of emergency medical16.
To fill out a copy of emergency medical16, individuals must provide their medical history, including any pre-existing conditions, medications, and allergies, as well as emergency contact information.
The purpose of a copy of emergency medical16 is to ensure that individuals receive appropriate medical care in the event of an emergency by providing healthcare providers with important medical information.
Information such as medical conditions, allergies, medications, emergency contacts, and any special instructions for medical treatment must be reported on a copy of emergency medical16.
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