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TOWNSHIP OF GRESHAM DEPARTMENT OF RECREATION & SENIOR SERVICES PLEASE RETURN DOCUMENT WITH YOUR PAYMENT 2014 Emergency Information Form Camper s Name: Grade Entering: Address: City: Gender: M / F
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How to fill out an emergency information form:

01
Start by carefully reading the instructions provided on the form. This will give you a clear understanding of what information needs to be filled out and why it is important.
02
Begin by filling out your personal information accurately. This includes your full name, date of birth, home address, and contact details such as phone number and email address. It is essential to provide up-to-date and correct information to ensure efficient communication during emergencies.
03
Next, provide the necessary medical information. This may include any existing medical conditions, allergies, medications you are currently taking, and details of your primary healthcare provider. It is important to be thorough and provide as much relevant information as possible to assist emergency responders in providing appropriate care.
04
Indicate your emergency contacts. These are individuals who should be contacted in case of an emergency when you are unable to communicate. Provide their names, relationships to you, and their contact information. Make sure to inform these individuals beforehand and get their consent to list them as emergency contacts.
05
Fill out any additional information required on the form, such as your insurance details, preferred hospital or healthcare facility, and any specific instructions or preferences you have regarding your medical care during emergencies.

Who needs an emergency information form:

01
Anyone who wants to be prepared and ensure their information is readily available in case of emergencies should have an emergency information form. It is especially important for individuals with medical conditions, allergies, or who take regular medications.
02
Parents or caregivers of minors should also fill out an emergency information form for the child. This ensures that vital information can be accessed quickly and helps facilitate prompt and appropriate medical care in case of emergencies.
03
Colleges, schools, and other educational institutions often require students to fill out emergency information forms. This allows the institution to contact the necessary individuals quickly in the event of a medical emergency or other threatening situations.
Remember, filling out an emergency information form may seem like a simple task, but it can be crucial in saving lives during unexpected situations. Take the time to provide accurate and comprehensive information to ensure you and your loved ones are prepared and protected.
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The emergency information form is a document used to collect and store important contact and medical information in case of an emergency.
Parents or guardians of students are usually required to file the emergency information form.
The form typically includes sections for personal details, emergency contacts, medical information, and any specific instructions. It is important to fill out all sections accurately and completely.
The purpose of the emergency information form is to ensure that necessary information is readily available in case of an emergency situation.
The form may require information such as student's name, date of birth, emergency contacts, physician information, allergies, medications, and special needs.
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