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EMERGENCY INFORMATION CARD 2015/2016 Child s Name Nickname DOB // Address Home Phone Parent/Guardian Name Email Phone Employer Work Phone Work Hours Emergency Contact Name Relationship to Child Child s Arrival Time Child s Pick Up Time People Authorized to Pick Up Child Child will be released only to these people with other parent/guardian written permission Allergies Special Notes Child s Physician Date Release and Emergency Medical Authorization The undersigned for themselves and/or...
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Step 1: Start by gathering all the necessary information and documents you will need to fill out the undersigned participation informafterschool enrichment program. This may include personal information, emergency contact details, and any specific requirements or preferences.
02
Step 2: Read through the form carefully to understand the instructions, requirements, and any additional information provided.
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Step 3: Begin by entering your personal details such as your name, address, phone number, and date of birth in the designated fields.
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Step 4: Provide all the required information regarding your previous participation in the afterschool enrichment program, if applicable.
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Step 5: Fill out any sections related to medical conditions, allergies, or special needs. Be thorough and accurate to ensure appropriate care and support is provided if necessary.
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Step 6: If there are any additional sections or questions, answer them accordingly, making sure to follow any guidelines or instructions provided.
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Step 7: Double-check all the information you have entered for accuracy and completeness.
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Step 8: Once you are satisfied with the form, sign and date it in the specified area.
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Step 9: Submit the completed form by the given deadline, ensuring it reaches the appropriate administration or organization responsible for administering the afterschool enrichment program.
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Step 10: Keep a copy of the filled-out form for your records and reference in the future.

Who needs undersignedsparticipationinformafterschoolenrichmentprogramforformyear20152016administeredby?

01
Parents or guardians of children interested in participating in the afterschool enrichment program for the form year 2015-2016 administered by the organization overseeing it.
02
Children or students themselves, if they are old enough to understand and complete the participation form independently.
03
Schools or educational institutions that are organizing the afterschool enrichment program and require participation information from students and their families.
04
Administrative staff or officials responsible for managing and reviewing participation applications and ensuring the smooth operation of the afterschool enrichment program.
05
Any other individuals or organizations involved or associated with the administration or coordination of the afterschool enrichment program who require access to the participation information.
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The undersigned's participation information in the after school enrichment program for the form year 20152016 is administered by the school.
Parents or guardians of the student are required to file the undersigned's participation information in the after school enrichment program for the form year 20152016.
The form can be filled out online on the school's website or a physical copy can be requested from the school office.
The purpose of the form is to track and confirm the student's participation in the after school enrichment program for the specified form year.
The information required includes the student's name, grade, classes attended, and any extracurricular activities participated in.
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