Get the free Emergency Information bFormb - Long Beach School District

LONG BEACH ATHLETICS Emergency Information Form Grade: 6 7 8 9 10 11 12 Sex: M F Date of Birth: Athletes Full Name: Address: City: State: MS Zip Code: Mothers Name: Work #: Cell #: Fathers Name: Work

How to fill out emergency information bformb

How to fill out emergency information form:

Start by filling out your personal details:

1. Write your full name, including any middle names or initials.
2. Provide your date of birth.
3. Include your current address and contact information.

Next, provide your emergency contact information:

1. Write the name of a trusted individual who should be contacted in case of emergency.
2. Include their relationship to you (e.g., spouse, parent, sibling, friend).
3. Provide their contact number(s) and any alternative contact details.

Specify any medical information or allergies:

1. If you have any pre-existing medical conditions, such as asthma or diabetes, mention them.
2. List any known allergies to medications, foods, or materials.
3. Indicate if you require any specific medications or treatments.

Provide details of your primary healthcare provider:

1. Write the name, address, and contact information of your regular doctor or healthcare facility.
2. Include any important medical history or ongoing treatments that they should be aware of.

Include insurance information, if applicable:

1. Write down the name of your insurance provider.
2. Include your policy number and any relevant contact information.
3. If you have separate medical and emergency travel insurance, mention both.

Who needs emergency information form?

1. Anyone who wants to ensure their safety and well-being in case of emergencies.
2. Individuals with pre-existing medical conditions that may require special attention.
3. Those who frequently travel or engage in activities with potential risks.
4. Parents or guardians caring for children or dependents.

Remember, it is essential to keep this form updated regularly as your personal circumstances or emergency contacts might change.

For pdfFiller’s FAQs

What is emergency information bformb?

Emergency information bformb is a form used to provide important contact information in case of an emergency.

Who is required to file emergency information bformb?

All individuals are required to file emergency information bformb.

How to fill out emergency information bformb?

Emergency information bformb can be filled out online or submitted in person at the designated office.

What is the purpose of emergency information bformb?

The purpose of emergency information bformb is to ensure that accurate and up-to-date contact information is available in case of an emergency.

What information must be reported on emergency information bformb?

The information reported on emergency information bformb typically includes names and contact numbers of emergency contacts, medical information, and preferred hospital.

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