Get De All-state Theatre Emergency Contact And Medical Information 2012-2025

Filling out the DE All-State Theatre Emergency Contact And Medical Information form is an important step in ensuring your child's safety during theatre activities. This guide provides clear instructions on how to complete the form online, ensuring that all necessary information is accurately submitted.

Follow the steps to effectively fill out the emergency contact and medical information form.

1. To begin, click the ‘Get Form’ button to access the form and open it for editing.
2. Input your child’s name in the designated field labeled 'Child's Name.' Ensure the spelling is correct for identification purposes.
3. Enter the date of birth for your child in the field marked 'Date of Birth.' Format the date as specified in the form.
4. Provide the names of both parents or guardians in the fields labeled 'Parent’s/Guardian’s Name.' If there are two guardians, fill out both sections accordingly.
5. Record a home phone number and a work phone number for each parent/guardian to ensure reliable contact options.
6. Input the home address for your family in the 'Address' section, ensuring that it is complete with city, state, and ZIP code.
7. Identify primary and secondary emergency contacts by filling in their names, phone numbers, and addresses in the provided sections.
8. Fill out the medical information section by indicating your preferred hospital or clinic, the name of your child's physician, and their contact number.
9. Enter the name of the insurance company and the policy number to ensure medical coverage if necessary.
10. List any allergies or special health considerations your child has to inform medical personnel in case of an emergency.
11. Review the authorization statement regarding medical treatment and sign it to give consent for medical procedures if necessary.
12. Indicate your permission for your child to attend field trips. Ensure that you understand the liability release that accompanies this permission.
13. Finally, sign and date the form as the parent or guardian. You may also need a witness signature, if required.
14. Once all sections are filled out, save the changes made to the form. You can then download, print, or share it as necessary.

Complete and submit the DE All-State Theatre Emergency Contact And Medical Information form online today to ensure your child's safety.