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EMERGENCY INFORMATION AND RELEASE FORM Name of child AddressLastFirstMiddleNicknameBirthdate Home Houseparent #1 or GuardianCell Someplace of employmentWork PhonePlease indicate which contact number

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How to fill out emergency information and release

01

Gather all necessary personal information including name, address, phone number, and emergency contacts.

02

Fill out any medical information such as allergies, medications, and medical conditions.

03

Sign and date the release form on the designated line.

04

Provide any additional information requested by the organization.

Who needs emergency information and release?

01

Anyone participating in activities that pose a risk of injury or require medical attention may need to fill out emergency information and release forms.

02

This includes participants in sports leagues, adventure activities, school trips, and other organized events.

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What is emergency information and release?

Emergency information and release is a document that provides important information about an individual's emergency contacts, medical conditions, allergies, and any special instructions in case of an emergency.

Who is required to file emergency information and release?

Anyone participating in activities or events that involve a level of risk or potential for emergencies may be required to file emergency information and release.

How to fill out emergency information and release?

To fill out emergency information and release, individuals typically need to provide their personal details, emergency contact information, medical history, allergies, and any specific instructions.

What is the purpose of emergency information and release?

The purpose of emergency information and release is to ensure that in case of an emergency, relevant information is readily available to assist emergency responders in providing the necessary care.

What information must be reported on emergency information and release?

Information such as personal details, emergency contacts, medical conditions, allergies, medications, and any specific instructions in case of an emergency must be reported on emergency information and release.

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