Emergency Info Kids Form

This form is for parents/guardians to input once for their child/young person so that they do not have to input the same information multiple times when signing up for events at St George's. Please fill this form out for each individual child.

Please input the information below to the best of your ability. If you would prefer to input the information directly into Breeze, please go to: https://sgmr.breezechms.com/

Thank you!

Parent Name

This address will receive a confirmation email

Child First Name, Last Name & Age

Child/Youth's Date of Birth

Allergies

Child Care Card Number (If you would prefer not to give this, you or your emergency contact must be within a 10 minutes of our local hospital with the care card number or be able to provide it with a phone call)

Emergency Contact Name & Relation to Child

Emergency Contact Primary Phone

Emergency Contact Phone #2

Anything else we should know?

Description

Please fill out this form and click submit.

Emergency Info Kids Form

Description

Please Fix the Following