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Kids Club/Early Childhood Center 5650 SW Hall Blvd. Beaverton, OR 97005 503.644.8697 Fax: 503.644.8182 Student Name: Grade: Parent/Guardian Authorizations: Medical Treatment:As a parent or guardian,
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To fill out kids club emergency authorization, follow these steps:
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Step 1: Obtain a copy of the kids club emergency authorization form.
03
Step 2: Read the instructions provided on the form carefully.
04
Step 3: Fill in the child's name, age, and date of birth.
05
Step 4: Provide the contact details of at least two individuals who can be reached in case of an emergency, such as parents or legal guardians.
06
Step 5: Specify any known allergies or medical conditions of the child that the staff should be aware of.
07
Step 6: Sign and date the form to authorize the kids club to take necessary emergency actions on behalf of your child.
08
Step 7: Return the completed form to the kids club staff.
09
Step 8: Keep a copy of the filled-out form for your records.

Who needs kids club emergency authorization?

01
Kids club emergency authorization is required for any child who will be participating in activities or programs provided by a kids club.
02
Parents or legal guardians of children who will be attending the kids club must fill out and submit the emergency authorization form.
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Kids club emergency authorization is a form that grants permission for emergency medical treatment for a child while under the care of a kids club or organization.
Parents or legal guardians of a child participating in a kids club or organization are required to file the emergency authorization form.
Parents or legal guardians can fill out the emergency authorization form by providing their contact information, the child's medical history, emergency contact details, and any specific medical instructions.
The purpose of kids club emergency authorization is to ensure that a child can receive prompt medical treatment in case of an emergency while participating in activities organized by the kids club or organization.
The emergency authorization form must include the child's name, date of birth, any known allergies or medical conditions, emergency contact information, and consent for emergency medical treatment.
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