Get Student Medical Release Form - Lccreddingcom

Filling out the Student Medical Release Form is an essential step for ensuring the health and safety of your child during activities organized by Little Country Church. This guide provides clear instructions to assist you in completing the form accurately and efficiently.

Follow the steps to fill out the Student Medical Release Form online successfully.

1. Press the ‘Get Form’ button to access the Student Medical Release Form and open it in your preferred online editor.
2. Begin by entering the student's full name in the designated field, along with their sex by choosing either 'M' for male or 'F' for female.
3. Provide the birth date of the student in the designated format shown on the form.
4. Fill in the student's cell number and their anticipated graduation year.
5. Enter the student's email address and residential address, ensuring to include city and zip code.
6. Indicate the school the student attends in the relevant field.
7. Complete the information for the parent(s) or custodial adult(s), including their names, relationship to the student, work phone, cell phone, and email address.
8. List emergency contacts to be reached if the parents cannot be contacted, along with their relationship to the student and corresponding phone numbers.
9. In the authorization section for medical care, clearly sign and date to authorize Little Country Church to make medical decisions on behalf of the student if necessary.
10. Indicate whether the student will require medications and provide details with specific instructions if applicable.
11. Note any allergies or special health concerns that are relevant to the student's health.
12. Record the date of the last tetanus shot and list any medications the child cannot take.
13. Fill out the physician's name and contact information, as well as the medical insurance company's information, including contact number, policy/group number, and participant number.
14. Confirm permission for the student to participate in Little Country Church activities, signing the release and indemnity agreement.
15. Provide photo permission by indicating whether you consent to having your child's image used in promotional materials.
16. Acknowledge the disciplinary agreement, agreeing to the rules set forth by the program.
17. Finally, ensure both parents/guardians sign and date the document. This can be done electronically if the editor supports e-signatures.
18. After completing the form, save your changes, then download, print, or share the document as needed.

Complete your Student Medical Release Form online today to ensure your child's participation in upcoming activities.