Eden, NY · Erie County
Recreation Department Emergency Information Parent/Guardian Consent Card
Eden Recreation Department participants and their parents or guardians use this card to provide emergency contacts, health information, and consent for emergency treatment.
What this form is
This card collects participant details, parent or guardian and alternate emergency contacts, medical and health information, and a preferred hospital. It also records acknowledgment of activity-related injury risks and authorization for emergency treatment and transportation. Return the completed card to the program supervisor or director before participation.
Who needs it
A participant, parent, or guardian should complete this card for participation in a Town of Eden Recreation Department program.
How to submit it
Type or print in black ink and return the card to the program supervisor or director prior to participation.
About notarization
This card is signed and dated without a notary; it contains an authorization for emergency treatment and transportation, but no sworn or notarized attachment.
How to submit this form
- 1
Download the Card
Download the Recreation Department Emergency Information Parent/Guardian Consent Card.
- 2
Complete the Card
Type or print in black ink and provide the requested participant, contact, and health information.
- 3
Sign and Date
The participant or parent/guardian signs and dates the card and provides emergency treatment authorization.
- 4
Return the Card
Give the completed card to the program supervisor or director prior to participation.
Frequently asked questions
- Do I need a notary for the Recreation Department Emergency Information Consent Card?
- No. The card is signed and dated without a notary; it includes authorization for emergency treatment and transportation, but no sworn or notarized attachment.
- How do I submit the emergency information card?
- Type or print in black ink and return the completed card to the program supervisor or director before participation.
- What information does the card ask for?
- It asks for participant and contact details, medical and health information, a preferred hospital, and acknowledgment of activity-related risks.
Need something notarized?
This Recreation Department Emergency Information Parent/Guardian Consent Card doesn’t need a notary — but if you have another Eden form that does, a commissioned online notary can help.