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  • Mcps Form 560 30

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Interscholastic High School Athletics MONTGOMERY COUNTY PUBLIC SCHOOLS Rockville, Maryland MEDICAL CARD FOR ATHLETE INSTRUCTIONS: This card should be kept on file in the medical kit for each sport.

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How to fill out the Mcps Form 560 30 online

Filling out the Mcps Form 560 30 online ensures that important medical information for student athletes is accurately recorded and easily accessible. This guide will walk you through each section of the form to help you complete it correctly and efficiently.

Follow the steps to fill out the Mcps Form 560 30 online.

  1. Click 'Get Form' button to obtain the form and open it in the editor.
  2. Enter the school name in the designated field to ensure the form is associated with the correct institution.
  3. Input the athlete's jersey number, ensuring that it corresponds with their respective sports team.
  4. Fill in the student's name as it appears on their official documents for accurate identification.
  5. Provide the birth date of the athlete in the format requested, ensuring accuracy for medical records.
  6. Enter the home phone number, ensuring it is currently valid and reachable.
  7. Fill in the home address of the athlete, making sure to include all relevant details for clear communication.
  8. List the names and contact numbers of both parent/guardian individuals, ensuring to provide multiple ways to reach them in case of emergencies.
  9. Enter the family physician's contact number and hospital preference for emergencies.
  10. Record the date of the last tetanus shot to keep medical records up-to-date.
  11. List any known allergies of the athlete in the designated section to prevent adverse reactions during medical treatment.
  12. Document any medicine that may need to be administered on the field during practices or games.
  13. Indicate whether the athlete has medical insurance by checking the appropriate option and providing the name of the insurance company if applicable.
  14. Sign and date the release for treatment section, giving permission for medical treatment in case of an emergency.
  15. Review all entries for accuracy, ensuring that all required fields are filled. After confirming everything is correct, save changes, download, print, or share the form as needed.

Complete your Mcps Form 560 30 online today to ensure your athlete is prepared for any medical situation.

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Proof of Residence If you own your home, you will need to provide one (1) of the following: Deed (all pages with all signatures) with 1 current utility bill. Settlement Papers (with all signatures) with 1 current utility bill.

Proof of residency must be submitted with all applications. Examples of Acceptable Proof: Current Montgomery County Property tax bill or current rental lease. Also submit current utility bill showing name and address. Student now residing in Montgomery County without parents and is requesting a waiver of tuition.

Generally accepted documents are: current rental lease; current utility bills containing applicant's name and address; or a current property tax bill.

(Address and telephone number changes must be made via the Employee Self-Service (ESS) web page. Complete this form, sign, and return it to the Employee and Retiree Service Center (ERSC). You may fax the form to 301-279-3642/301-279-3651 or e-mail an electronically signed Adobe PDF file to ERSC@mcpsmd.org.

Proof of Residency: Homeowners: A copy of a current property tax bill, or if the property was recently bought, a copy of the Closing Disclosure. Renters: If renter, a copy of a current lease. If the original term of the lease has expired, a copy of a current utility bill, or a lease extension should be provided.

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