Get Emergency Medical Release Form In Pdf - Porchlight Music Theatre

This guide provides clear and step-by-step instructions for completing the Emergency Medical Release Form for Porchlight Music Theatre. By following these simple directions, users can ensure that all necessary information is provided accurately and completely.

Follow the steps to fill out your Emergency Medical Release Form online:

1. Click the ‘Get Form’ button to access the form and open it in your chosen PDF editor.
2. In the first section, enter the student’s name in the designated space, along with their date of birth.
3. If the student is under 18, fill in the parent(s) name in the specified area.
4. Provide the home, work, and cell phone numbers in the respective fields to ensure that contact can be made.
5. Fill in the address, city, state, and zip code to give a complete picture of where the student resides.
6. Detail any relevant medical or behavioral information, plus any known allergies in the provided sections.
7. List any relevant medications the student is taking, and indicate whether the theatre staff should dispense these medications.
8. If medications need to be dispensed, specify the times for administration.
9. Enter the emergency contact's name, relationship to the student, and their phone number.
10. Select the acknowledgment regarding authorization for Porchlight Music Theatre to call 911 in an emergency.
11. Indicate the insurance status by selecting whether the student has 24-hour accident insurance or family medical insurance, or if there is no insurance.
12. Finally, provide your signature along with the date to finalize the form. If applicable, include the PMT Director’s signature and date as well.

Start filling out your Emergency Medical Release Form online now!