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Chico Area Recreation and Park District
Emergency Form
Emergency Contact and Authorization Form
Please bring this form with you the first day of the program!
PLEASE NOTE: It is Cards policy that any
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How to fill out emergency contact and authorization

How to fill out emergency contact and authorization
01
Start by gathering all the necessary information of the emergency contact, including their full name, relationship to you, phone number, and address.
02
Make sure to fill out all the required fields accurately, as this information will be crucial in case of an emergency.
03
Next, provide any additional information or special instructions that may be necessary for the emergency contact to know.
04
If there are any specific authorizations or permissions that need to be granted to the emergency contact, clearly mention them in the form.
05
Double-check all the filled information for any errors or missing details before submitting the form.
06
Once the form is completed, sign and date it to verify the accuracy of the provided information.
07
Keep a copy of the filled emergency contact and authorization form for your records.
Who needs emergency contact and authorization?
01
Any individual who wants to ensure that a designated person can be contacted in case of an emergency needs to fill out an emergency contact and authorization form.
02
This can include employees in the workplace, students in schools, participants in sports or outdoor activities, patients in healthcare facilities, and individuals with special needs or medical conditions.
03
Emergency contact and authorization forms are also commonly required for minors or children to ensure their safety and well-being in various settings.
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What is emergency contact and authorization?
Emergency contact and authorization is a form that allows individuals to designate someone to be contacted in case of an emergency and grants authorization for medical treatment if needed.
Who is required to file emergency contact and authorization?
All employees are typically required to file emergency contact and authorization information.
How to fill out emergency contact and authorization?
Employees can fill out the form with their designated emergency contact information and provide any necessary authorization details.
What is the purpose of emergency contact and authorization?
The purpose of emergency contact and authorization is to ensure that there is someone to be contacted in case of an emergency and to authorize medical treatment if necessary.
What information must be reported on emergency contact and authorization?
Information such as the designated emergency contact's name, relationship to the individual, phone number, and any necessary authorization for medical treatment.
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