PA MCDS Berks Emergency Contact/Parental Consent Form 2019 free printable template

EMERGENCY CONTACT/PARENTAL CONSENT FORM FOR THE 20192020 SCHOOL YEARChilds Name Date of BirthChilds Address Parent/Guardian Apparent/Guardian Preprimary Phone #Primary Phone #AddressAddressCity, State,

How to fill out PA MCDS Berks Emergency ContactParental Consent

How to fill out PA MCDS Berks Emergency Contact/Parental Consent Form

1. Obtain the PA MCDS Berks Emergency Contact/Parental Consent Form from the appropriate source.
2. Fill in the child's full name and date of birth at the top of the form.
3. Provide the parent's or guardian's name and contact information, including phone number and email address.
4. List emergency contacts, including their names, relationship to the child, and phone numbers.
5. Indicate any medical conditions or allergies that the child has.
6. Sign and date the form at the bottom to give consent for emergency treatment, if necessary.
7. Return the completed form to the designated authority or organization.

Who needs PA MCDS Berks Emergency Contact/Parental Consent Form?

1. Parents or guardians of children enrolled in PA MCDS Berks programs.
2. Childcare providers who require emergency contact information for the children in their care.
3. Schools or educational institutions that need parental consent for participation in activities.

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What is PA MCDS Berks Emergency Contact/Parental Consent Form?

The PA MCDS Berks Emergency Contact/Parental Consent Form is a document used to ensure that emergency contacts and consent for medical treatment are clearly established for children participating in programs in Berks County, Pennsylvania.

Who is required to file PA MCDS Berks Emergency Contact/Parental Consent Form?

Parents or guardians of children enrolled in programs managed by PA MCDS Berks are required to file the Emergency Contact/Parental Consent Form.

How to fill out PA MCDS Berks Emergency Contact/Parental Consent Form?

To fill out the form, provide the child's personal information, details of the parents or guardians, emergency contact information, and necessary medical consent signatures.

What is the purpose of PA MCDS Berks Emergency Contact/Parental Consent Form?

The purpose of the form is to ensure that emergency contacts are available for children and that parents or guardians provide consent for medical treatment in case of emergencies.

What information must be reported on PA MCDS Berks Emergency Contact/Parental Consent Form?

The form must include the child's name, date of birth, parent's or guardian's contact information, emergency contacts, and any relevant medical information or consent requirements.