John Carroll University (JCU) Young Writers Workshop PARENTAL CONSENT, EMERGENCY INFORMATION, AND RE 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the name of the participant and their age in the designated fields at the top of the form.
3. Fill in your contact information as a parent or guardian, including your daytime phone number. If there are multiple guardians, ensure all relevant details are provided.
4. In the Emergency Contact Information section, list additional contacts who can be reached in case of an emergency, along with their relationship to the participant and phone numbers.
5. Complete the Consent to Treatment section by providing your medical insurance provider's name and policy number. Make sure to note any specific medical needs or allergies on the reverse side of the form.
6. If someone other than you will be picking up your child, indicate their name and phone number in the Pickup Information section.
7. Finally, review all entered information for accuracy before signing and dating the form at the bottom.

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