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How to use or fill out PLEASE RETURN THIS FORM FOR EACH ADULT CHAPERONE with our platform
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Click ‘Get Form’ to open it in the editor.
Begin by filling out the Chaperone Information section. Enter your full name, school, address, city, state, zip code, email, and telephone numbers for both day and evening.
Proceed to the Insurance Information section. Indicate whether you have health insurance by selecting 'Yes' or 'No'. If 'Yes', provide the insurance company details and policy numbers as requested.
In the Emergency Contacts section, list two emergency contacts along with their relationship to you and their telephone numbers for both day and evening.
Complete the Participant’s Physical Information by indicating your level of fitness based on the provided options.
Fill out the Medical Information section thoroughly. Include any allergies, infectious diseases, disabilities, medications, immunization status, and other relevant health details.
Finally, review and sign the Consent section to affirm that all information is accurate and complete before submitting your form.
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Please return this form for each adult chaperone templatePlease return this form for each adult chaperone example
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0 INTRODUCTION
In order to help ensure that your team social will be organized and fun, each attending team must have 1 adult chaperone for each 10 students. There usually
Please RETURN COMPLETED FORM to: Anderson County Extension Office. 1026 County Park Road. Lawrenceburg, KY 40342. Phone: (502)839-7271 Fax: (502) 839-9829.
Please return this form to DCPS Study Abroad before you or your child participates in the field trip. If you do not understand this form, please contact
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