Get East Carolina University Adventure Program Trip Health Information ...

Filling out the East Carolina University Adventure Program Trip Health Information form is an essential step to ensure a safe and enjoyable experience for all participants. This guide provides clear, step-by-step instructions to help you complete the form accurately and effectively online.

Follow the steps to complete the Trip Health Information form.

1. Click ‘Get Form’ button to access the Trip Health Information form and open it in the editor.
2. Begin by entering your personal information. Fill in your name, including your first name, middle initial, and last name. Make sure to provide accurate contact details, such as your cell phone and home phone numbers, along with your address and email address.
3. Indicate your sex and age as required, and ensure to include your date of birth, height, weight, and Banner ID #.
4. Provide emergency contact information. This includes the name of a person you trust, their relationship to you, and their address and phone numbers for home and work.
5. Fill in your medical insurance details, including the insurance company name and policy number. This information is crucial for any medical emergencies during the program.
6. Complete the Health Questionnaire. Carefully review each question and circle 'Yes' or 'No' as appropriate. Be sure to describe any conditions, treatments, or medications you are currently undergoing, especially those that may impact your ability to participate.
7. If applicable, provide information regarding any known allergies, medical conditions, or previous injuries that might affect your participation in the Adventure Program. Include necessary details where prompted.
8. Finalize the Authorization for Emergency Medical Care & Medical Release section. Review the permission statement and note any exceptions you wish to make. Sign and date the form to authorize the provided information.
9. If you are under 18 years old, ensure that the form is also signed by a parent or guardian. Include their printed name and signature along with the date.
10. Once all sections are completed, review your responses for accuracy. Save your changes, and then you may download, print, or share the completed form as needed.

Take the next step towards your adventure by completing the Trip Health Information form online today.