Emergency contact person definition

Emergency contact person means a person the individual or caregiver wants the provider to contact in the event of an emergency to inform the person about the nature of the emergency.

Emergency contact person. Telephone Number: Cell Phone Number: Residence Telephone Number: Email: ‌‌

Emergency contact person. Relationship: Daytime Phone: Cell/Work Phone: Alternate Contact Person: Relationship: Daytime Phone: Cell/Work Phone: Hospital of choice: Medical condition that may be of concern on training site (i.e. seizure or other medical condition): Doctor’s name and contact information:

Examples of Emergency contact person in a sentence

• In the event I suffer an injury, condition, or event during my participation in the Trip, I authorize TTI Parties to contact my Emergency Contact Person and to disclose to my Emergency Contact Person the nature and details of my injury or condition.

• Client Signature Date of Authorization Emergency Contact Person Relationship to client Address Telephone Numbers (Home/Cell/Work) Email Address Mental Health Care Provider Address Telephone Number Email Address STOP AND READ CAREFULLY! Notice of Exception of Rights of Confidentiality I understand that all information disclosed within Retrieving Freedom, Inc.

• In the event I suffer an injury or condition during my participation in the Activities, I authorize Life Remodeled through designated officials or persons to contact the Emergency Contact Person indicated below to advise them of my injury or condition and to consult with them regarding medical care or treatment.

• Contact Details The Customer/Client (or Customer/Client’s representative) can be contacted on: Contact Name: Organisation Name: Phone (Business Hours): Phone (After Hours): Mobile: Email: Postal Address: Emergency Contacts Emergency Contact Person: Emergency Contact Phone: 2nd Emergency Contact Person: 2nd Emergency Contact Phone: Agreement Sign Off I agree to the terms and conditions of this Service Agreement.

• So, in the event I suffer an injury or condition during my participation in the Activities, I authorize CCSEM through designated officials or persons to contact the Emergency Contact Person indicated below to advise them of my injury or condition and to consult with them regarding medical care or treatment.

More Definitions of Emergency contact person

Emergency contact person means the person designated by the owner or agent or representative of the owner, who is available 24 hours per day, seven days per week for the purpose of responding to complaints regarding the condition, repair, operation or conduct of occupants of the vacation rental unit, and who has access and authority to assume management of the unit and take remedial measures.

Emergency contact person or “Keyholder” shall mean a person listed on the alarm license application by the alarm user, who has a key or other access to the alarm user's property and who will respond, if necessary, when the alarm system is activated.

Emergency contact person. Phone #: ACTIVITY PROVIDER: DATE: Contact Person @ Activity Center: Phone: *** Parents – Please deliver this form to the activity provider, and remember, on a daily basis, to inform the school via the “Xxxxx Hills Transportation Note” forms already in use - daily notes will still be required in addition to this general permission. *** Activity Providers – Please deliver this form, proof of insurance,

Emergency contact person. Phone: ( ) relationship Signature:

Emergency contact person. Name: Landline: Mobile: Email:

Emergency contact person or “Keyholder” shall mean a person listed on the alarm license application by

Emergency contact person. Phone: Sponsoring Group: Nonprofit: Yes No IRS Tax ID #: Describe activity, including number of people expected: The New Ark UCC is a non-smoking facility. Due to insurance costs and liability considerations, no alcohol is allowed. The church is not to be held responsible for any lost, damaged or stolen property or personal injury. This agreement/contract is entered into between the New Ark United Church of Xxxxxx, 000 Xxxx Xxxx Xxxxxx, Xxxxxx, DE and the Rental Party as noted herein and signed below. Signature of Responsible Party: Signature: Date: Please return this form to the New Ark UCC, 000 X. Xxxx Xxxxxx, Xxxxxx, XX 00000. We will call to notify you of the acceptance or non-acceptance of this contract. You may also call us with any questions, check for available dates, or to seek any other information about using our facility.