Get Spring Clinic Flyer

Filling out the Spring Clinic Flyer is a straightforward process that ensures all necessary information is collected for participants in the clinic. This guide offers step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to fill out the Spring Clinic Flyer online.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by entering the participant's name in the designated field. This is important for identifying who will be attending the clinic.
3. Next, provide the participant's email address. Make sure to use a valid email that can receive notifications about the clinic.
4. Fill in the date of birth (DOB) and age of the participant. This information is required to ensure proper age categorization for activities.
5. Complete the address section, including street address, city, state, and zip code. Accurate address information is essential for emergency contact purposes.
6. Provide the name of a parent or guardian in the section provided. This person will be responsible for the participant during the clinic.
7. Enter phone numbers, both home and cell, for the parent or guardian. These will be used for any necessary communications regarding the participant.
8. List an emergency contact's name and their phone numbers. This ensures that there is someone to reach in case of an emergency.
9. Detail the health insurance provider's name and the policy ID number. This information is critical in case medical assistance is required.
10. Fill in the policy holder's name and mailing address, which should align with the health insurance information provided.
11. Include a photocopy of the health insurance card. This step is crucial for the clinic's records and for medical care if necessary.
12. In the release of liability section, the parent or guardian must sign their name, confirming their understanding and acceptance of the terms outlined.
13. Next, the parent or guardian should enter the date when the form is signed.
14. The participant should also provide their signature and date to confirm their understanding and acceptance of participation.
15. Finally, review all entered information for accuracy, then save changes, download, print, or share the form as needed.

Complete the Spring Clinic Flyer online today to ensure your participant's registration!