Ranlo, NC · Gaston County
Emergency Information and Consent
This form records an athlete’s emergency contacts, insurance and medical details, and guardian consent for care, first aid, and transportation.
What this form is
The Emergency Information and Consent form records an athlete’s contact details, parent or guardian information, family medical insurance, physician information, allergies, and serious medical conditions. A parent or guardian uses it to authorize health care providers designated by the Town of Ranlo to provide necessary care if the child has an injury or illness; the consent also covers first aid and transportation to and from health care providers.
Who needs it
A parent or guardian completes this form for an athlete whose emergency and medical information and consent for care are being provided to the Town of Ranlo.
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; the guardian signs and dates it.
How to submit this form
- 1
Download The Form
Download the Emergency Information and Consent form.
- 2
Complete The Form
Enter the athlete’s and guardian’s information, insurance and medical details, and the guardian’s consent.
- 3
Check For Attachments
The document text does not list any attachments.
- 4
Submit To The City
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 Emergency Information and Consent form request?
- It requests athlete and parent or guardian details, family medical insurance and physician information, allergies, serious medical conditions, and guardian authorization.
- Do I need a notary for the Emergency Information and Consent form?
- No. This document is signed without a notary; the guardian signs and dates it.
- How do I submit the Emergency Information and Consent form?
- Submit it to the city department named on the form; check the city website for current contact details.