PA Harrisburg Area YMCA Emergency Contact/Parental Consent Form Packet 2019-2025 free printable template
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EMERGENCY CONTACT/PARENTAL CONSENT FORM 55 PA CODE CHAPTERS 3270 124(a)(b). 3270 181 & 182. 3280142(a)(b) 3280 181 & 182 3290 124(a)(b). 3290 181 & 182 BIRTHDATECHILDS NAME ADDRESS MOTHERS NAME/LEGAL
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How to fill out PA Harrisburg Area YMCA Emergency ContactParental
How to fill out PA Harrisburg Area YMCA Emergency Contact/Parental Consent
01
Obtain the PA Harrisburg Area YMCA Emergency Contact/Parental Consent form from the YMCA's website or front desk.
02
Fill out your child's full name at the top of the form.
03
Provide your contact information including your name, address, and phone number.
04
Complete the emergency contact section, listing at least one other adult who can be contacted in case of an emergency.
05
Specify any medical conditions or allergies your child may have.
06
Sign and date the form at the bottom to authorize the consent.
07
Review the completed form to ensure all information is accurate and legible.
08
Submit the form to the YMCA staff, either in person or as instructed.
Who needs PA Harrisburg Area YMCA Emergency Contact/Parental Consent?
01
Parents or guardians of children participating in programs at the PA Harrisburg Area YMCA.
02
Child care providers or individuals responsible for looking after minors in YMCA activities.
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What is PA Harrisburg Area YMCA Emergency Contact/Parental Consent?
The PA Harrisburg Area YMCA Emergency Contact/Parental Consent is a document that provides emergency contact information and parental consent for minors participating in YMCA programs.
Who is required to file PA Harrisburg Area YMCA Emergency Contact/Parental Consent?
Parents or guardians of minors participating in any programs at the PA Harrisburg Area YMCA are required to file the Emergency Contact/Parental Consent form.
How to fill out PA Harrisburg Area YMCA Emergency Contact/Parental Consent?
To fill out the form, provide the child's personal information, including name and date of birth, as well as emergency contact details, and sign the parental consent section.
What is the purpose of PA Harrisburg Area YMCA Emergency Contact/Parental Consent?
The purpose of the form is to ensure that the YMCA has necessary information to contact parents or guardians in case of an emergency involving a minor.
What information must be reported on PA Harrisburg Area YMCA Emergency Contact/Parental Consent?
The information that must be reported includes the child's name, date of birth, contact information for parents or guardians, as well as alternative emergency contacts if necessary.
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