Eden, NY · Erie County
Town Pool Emergency Info & Parent/Guardian Consent
This pool form collects emergency, health, and contact information and consent from Eden Town Pool participants or a parent or guardian.
What this form is
The Town Pool Emergency Info & Parent/Guardian Consent form records participant and parent or guardian details, emergency contacts, and health information such as medications, allergies, and medical problems. It also documents acknowledgment of activity risks and authorizes emergency treatment and transportation in the event of injury. The form includes pool pass and participant information and is signed and dated by the participant or, for a minor, a parent or guardian.
Who needs it
Eden Town Pool participants, or a parent or guardian completing the form for a minor, provide the requested contact, health, and consent information.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; it asks the participant or parent or guardian to sign and date the form.
How to submit this form
- 1
Download The Form
Download the Town Pool Emergency Info & Parent/Guardian Consent form.
- 2
Complete Participant Details
Fill in the pool pass, participant, parent or guardian, emergency contact, and health information requested.
- 3
Review And Sign
Review the risk acknowledgment and emergency treatment authorization, then sign and date the form.
- 4
Submit The Form
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What information does the pool form request?
- It asks for participant and parent or guardian contact details, emergency contacts, health information, preferred hospital, and doctor and insurance information.
- Who signs the Town Pool consent form?
- The participant signs, or a parent or guardian signs if the participant is a minor. The signer also dates the form.
- Do I need a notary for the Town Pool consent form?
- No. The form has no notary block; the participant or parent or guardian signs and dates it.
- How do I submit the Town Pool consent form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Town Pool Emergency Info & Parent/Guardian Consent doesn’t need a notary — but if you have another Eden form that does, a commissioned online notary can help.