Get Medical Release/student Information Form - Ymca - Ymcaspokane

Completing the Medical Release/Student Information Form for YMCA is an important step in ensuring your child's safety and well-being during their participation in YMCA activities. This guide will provide you with a clear and supportive walkthrough of each section in the form, enabling you to fill it out accurately and efficiently online.

Follow the steps to complete the form effortlessly.

1. Click ‘Get Form’ button to obtain the Medical Release/Student Information Form and open it in the online editor.
2. Enter the student's full name in the appropriate field to identify the individual for whom the medical authorization is being completed.
3. Provide the student's address, city, and zip code to ensure accurate records and effective communication.
4. Fill in the home phone number and email address for the student, enabling quick contact if necessary.
5. Input the date of birth, sex, age, and grade of the student to register their basic identity and educational status.
6. Complete the sections for medical insurance and dental insurance by entering the policy numbers, which will assist in managing healthcare needs.
7. Enter the full name, home phone, cell phone, work phone, and email of the parent or legal guardian to provide emergency contact details.
8. List the secondary emergency contact's details, ensuring that more than one person is available for urgent situations.
9. Record the date of the student’s last Tetanus (or DTP) immunization to maintain up-to-date health records.
10. Indicate if the student has any allergies or health problems that YMCA staff should be aware of, as this can impact safety and treatment.
11. If the student carries medication, detail the condition being treated, the specific medication, potential side effects, and dosage information.
12. If you cannot be reached in case of an emergency, authorize the YMCA staff to seek necessary medical treatment by signing the form.
13. Finally, date your signature to confirm that the information is accurate and that you understand the terms of authorization.
14. After completing all sections, review the form for accuracy and coherence. Save your changes, and choose to download, print, or share the form as needed.

Complete your Medical Release/Student Information Form online today to ensure your child's safe participation in YMCA activities.