Emergency Contact 2 definition

Emergency Contact 2. Full Name: Relationship: Home Address: Email Address: Home/Cell Phone #: Work Phone #: Can the participant be released to this individual? Yes or No (circle one)
Sample 1Sample 2Sample 3
Emergency Contact 2. Name: Relationship to Minor: Phone Number:
Sample 1
Emergency Contact 2. Name: Telephone: ( ): I, (“Registrant” or “I”), request that the U.S. Living Will Registry, with offices at 000 Xxxxxxxxx Xxx., XX Xxx 0000, Xxxxxxxxx, Xxx Xxxxxx 00000-2789 (“Registry”), electronically store a copy of my attached advance directive (living will and/or health care proxy), and provide a copy of the stored advance directive to any health care provider who requests it in conjunction with providing care to me. A “health care provider” is any hospital, doctor, skilled nursing facility, nursing facility, home health care agency/provider, ambulatory surgery facility, hospice, or any authorized employee of any of the foregoing. My registration is not effective until I receive written confirmation from the Registry, at the address I have provided above. I understand that I can only register through a Registry member Health Care Provider or a Registry Community Partner. The Registry’s member Health Care Providers and Community Partners are not owned or operated by the Registry, and they cannot change any terms of this Registration Agreement; any oral changes are not effective.
Sample 1

Examples of Emergency Contact 2 in a sentence

  • Emergency Contact #2 Relation to Child Phone Number E-mail Address Employer Full Home Address (req.) Employer Phone Number Check here that you informed this individual that they will need their I.D to pick up.

  • Legal Guardian’s Signature Emergency Contact 1: Phone Number: ( ) Relationship Emergency Contact 2: Phone Number: ( ) Relationship STATE OF COUNTY OF The foregoing instrument was acknowledged before me this day of , 20 , by (name of person acknowledging).

  • Please insert the information below to indicate the persons who should be contacted in event of an incident/accident.Emergency Contact 1 Name & Number Emergency Contact 2 Name & Number It may be essential at some time for authorised persons acting on behalf of the club to have the necessary authority to obtain urgent treatment which may be required whilst at representative club competition or training.

  • Please insert the information below to indicate the persons who should be contacted in event of an incident/accident.Emergency Contact 1 Name & Number Emergency Contact 2 Name & Number It may be essential at some time for authorised persons acting on behalf of the club to have the necessary authority to obtain urgent treatment which may be required whilst training or representing the club at competition.

  • Home Cell WorkLast Name, First Name Relationship Phone #Emergency Contact #2 Home Cell WorkLast Name, First Name Relationship Phone #Emergency Contact #1 EMERGENCY CONTACTS WHEN PARENT CANNOT BE REACHED Cell Work HomeSubmitting false documentation to obtain a governmental benefit to which one is not entitled, such as false residency information to gain access to public school, is punishable as a crime, including but not limited to Fraud, Perjury and Larceny.

  • Emergency Contact #1 Phone # Emergency Contact #2 Phone # Liability/Medical/Photo ReleaseThis medical history is correct and complete to the best of my knowledge.

  • Emergency Contact #2 Relation to Child Phone Number E-mail Address Employer Full Home Address (req.) Employer Phone Number 🞎Check here that you informed this individual that they will need their I.D to pick up.

  • YOUR PHARMACY : PHONE NUMBER/ CROSS STREETS: Emergency Contact #1: Relationship: Phone: Driver Name and Phone, if different from above, Name: Phone: Emergency Contact #2: Relationship: Phone: (Please Initial) I authorize BSS International Inc., hereinafter referred to as BSSI, its physicians, and staff to speak to my emergency contacts and/or driver.

  • Home Cell WorkLast Name, First Name Relationship to Child Phone #Emergency Contact #2 Home Cell WorkLast Name, First Name Relationship to Child Phone #Emergency Contact #1 EMERGENCY CONTACTS WHEN PARENTS CANNOT BE REACHEDSubmitting false documentation to obtain a governmental benefit to which one is not entitled, such as false residency information to gain access to public school, is punishable as a crime, including but not limited to Fraud, Perjury and Larceny.

  • Emergency Contact 1 First Name Last Name Daytime Phone Number Relationship Emergency Contact 2 First Name Last Name Daytime Phone Number Relationship Emergency Contact 3 First Name Last Name Daytime Phone Number Relationship Please list any of the following: Current medications, medication allergies, food allergies, or chronic health concerns.


More Definitions of Emergency Contact 2

Emergency Contact 2. Phone: Alternate Phone: Email:
Sample 1

Related to Emergency Contact 2

  • Emergency Contact means one person or office that can act as a referral if emergency responders need assistance in responding to a chemical release at the facility.

  • Emergency contraception means any health care treatment approved by the food and drug administration that prevents pregnancy, including but not limited to administering two increased doses of certain oral contraceptive pills within seventy-two hours of sexual contact.

  • Emergency call means a telephone request or text message request for service which requires immediate action to prevent loss of life, reduce bodily injury, prevent or reduce loss of property and respond to other emergency situations determined by local policy.

  • Emergency Care means management for an illness or injury which results in symptoms which occur suddenly and unexpectedly, and requires immediate care by a medical practitioner to prevent death or serious long term impairment of the insured person’s health.

  • Emergency Service Number or "ESN" is a three to five digit number representing a unique combination of Emergency Response Agencies (law enforcement, fire and emergency medical service) designed to serve a specific range of addresses within a particular geographical area. The ESN facilitates Selective Routing and transfer, if required, to the appropriate PSAP and the dispatch of proper Emergency Response Agency(ies).

  • Emergency Condition means a condition or situation: (1) that in the judgment of the Party making the claim is imminently likely to endanger life or property; or (2) that, in the case of the NYISO or Connecting Transmission Owner, is imminently likely (as determined in a non-discriminatory manner) to cause a material adverse effect on the security of, or damage to the New York State Transmission System or Distribution System, the Connecting Transmission Owner’s Interconnection Facilities or the electric systems of others to which the New York State Transmission System or Distribution System is directly connected; or (3) that, in the case of the Interconnection Customer, is imminently likely (as determined in a non-discriminatory manner) to cause a material adverse effect on the security of, or damage to, the Small Generating Facility or the Interconnection Customer’s Interconnection Facilities. Under Emergency Conditions, the NYISO or Connecting Transmission Owner may immediately suspend interconnection service and temporarily disconnect the Small Generating Facility. The NYISO or Connecting Transmission Owner shall notify the Interconnection Customer promptly when it becomes aware of an Emergency Condition that may reasonably be expected to affect the Interconnection Customer’s operation of the Small Generating Facility. The Interconnection Customer shall notify the NYISO and Connecting Transmission Owner promptly when it becomes aware of an Emergency Condition that may reasonably be expected to affect the New York State Transmission System or Distribution System or any Affected Systems. To the extent information is known, the notification shall describe the Emergency Condition, the extent of the damage or deficiency, the expected effect on the operation of each Party’s facilities and operations, its anticipated duration, and the necessary corrective action.

  • Emergency Service If you are unable to reach Administrator at 877.634.0964 and you require emergency repair, you may contact any manufacturer authorized service repair facility listed in your phone book or online. Mail Administrator your original repair bill along with the technician’s report and a copy of the Agreement to the address at the top of this Agreement for reimbursement. All coverage and exclusions in this Agreement will apply. Wisconsin: ARBITRATION section of this Agreement is removed. CANCELLATION section is amended as follows: If We cancel this Agreement, We will provide written notice of cancellation, including the effective date of the cancellation and the actual reason for the cancellation, to the last known mailing address at least five (5) days prior to the effective date of the cancellation. Claims paid or the cost of repairs performed shall not be deducted from the amount to be refunded upon cancellation of this Agreement. THIS CONTRACT IS SUBJECT TO LIMITED REGULATION BY THE OFFICE OF THE COMMISSIONER OF INSURANCE. If You cancel within thirty (30) days of receipt of Your Agreement, You must first return to the Selling Retailer or to the Obligor should the Selling Retailer not be available. Proof of loss should be furnished by You to the Administrator as soon as reasonably possible and within one (1) year after the time required by this Agreement. Failure to furnish such notice or proof within the time required by this Agreement does not invalidate or reduce a claim. A ten percent (10%) penalty per month shall be applied to refunds not paid or credited within forty-five (45) days of receipt of returned Service Agreement. If Administrator fails to provide, or reimburse or pay for, a service that is covered under this Agreement within sixty-one (61) days after You provide proof of loss, or if the Administrator becomes insolvent or otherwise financially impaired, You may file a claim directly with the Insurer for reimbursement, payment, or provision of the service. If Your cancellation request is made more than thirty (30) days from the date of purchase, You will receive a pro-rata refund of the Agreement purchase price, less the cost of repairs made (if any), and less an administrative fee to not exceed $50.00 or ten percent (10%) of the purchase price whichever is less.

  • Emergency services means police, fire, ambulance, rescue, and medical services.

  • Agency contract means an agreement pursuant to which a student athlete authorizes a person to negotiate or solicit on behalf of the student athlete a professional sports services contract or an endorsement contract.

  • Direct contact means the contact of persons with high voltage live parts.

  • Emergency service provider means a uniformed or otherwise identified employee or contractor of a fire department, hospital, or police station when that individual is inside the premises and on duty. Emergency service provider also includes a paramedic or an emergency medical technician when either of those individuals is responding to a 9-1-1 emergency call.

  • high-efficiency cogeneration means cogeneration meeting the criteria laid down in Annex II;

  • Emergency Situation means a situation in which an individual is experiencing a serious mental illness or a developmental disability, or a minor is experiencing a serious emotional disturbance, and 1 of the following applies:

  • Explosives or munitions emergency response means all immediate response activities by an explosives and munitions emergency response specialist to control, mitigate, or eliminate the actual or potential threat encountered during an explosives or munitions emergency. An explosives or munitions emergency response may include in-place render-safe procedures, treatment or destruction of the explosives or munitions and/or transporting those items to another location to be rendered safe, treated, or destroyed. Any reasonable delay in the completion of an explosives or munitions emergency response caused by a necessary, unforeseen, or uncontrollable circumstance will not terminate the explosives or munitions emergency. Explosives and munitions emergency responses can occur on either public or private lands and are not limited to responses at RCRA facilities.

  • Rating Agency Communication means, with respect to any action and any Securitization, any written communication intended for a Rating Agency, which shall be delivered at least ten (10) Business Days prior to completing such action, in electronic document format suitable for website posting to the 17g-5 information provider under the applicable Securitization Servicing Agreement.

  • Emergency Energy means energy supplied from Operating Reserve or electrical generation available for sale in New York or PJM or available from another Balancing Authority Area. Emergency Energy may be provided in cases of sudden and unforeseen outages of generating units, transmission lines or other equipment, or to meet other sudden and unforeseen circumstances such as forecast errors, or to provide sufficient Operating Reserve. Emergency Energy is provided pursuant to this Agreement and the Inter Control Area Transactions Agreement dated May 1, 2000 and priced according to Section 35.6.4 of this Agreement and said Inter Control Area Transactions Agreement.

  • Emergency Situations Fire, any other casualty, or any other events, circumstances or conditions which threaten the safety or physical well-being of the Facility's guests or employees or which involve the risk of material property damage or material loss to the Facility.

  • Emergency generator means any generator of which the sole function is to provide emergency backup power during an interruption of electrical power from the electric utility. An emergency generator does not include:

  • Primary Contact means the individual a Proponent (that has submitted a Proposal), designates to represent the Proponent during the competitive process associated with this RFP. There can be only one (1) Primary Contact.

  • Emergency responder means an individual who is required to possess a license, certificate, permit, or other official recognition for his or her expertise in a particular field or area of knowledge and whose assistance is utilized or is desirable during an emergency. Emergency responder includes, but is not limited to, emergency medical services personnel; physicians; nurses; mental health, veterinary, or other public health practitioners; emergency management personnel; public works personnel; and firefighters, including firefighters trained in the areas of hazardous materials, specialized rescue, extrication, water rescue, or other specialized area. Emergency responder does not include law enforcement officers or other law enforcement personnel.

  • Emergency vehicle means emergency vehicles of municipal, township or county departments or public utility corporations when identified as such as required by law, the Ohio Director of Public Safety or local authorities, and motor vehicles when commandeered by a police officer. (ORC 4511.01(D))

  • Emergency exit means an emergency door, emergency window or escape hatch.

  • Outdoor cultivation means the cultivation of mature cannabis without the use of artificial lighting or light deprivation in the canopy area at any point in time. Artificial lighting is permissible only to maintain immature plants outside the canopy area.

  • Authorized emergency vehicle means any of the following:

  • Customer Contact means the individual(s), whether a contract manager, category consultant or otherwise, who are to act for the Customer as the day to day point of contact for communications from the Contractor to the Customer in relation to the Contract, being the individual(s) identified in Section 2 of the Contract Schedule or otherwise notified to the Contractor from time to time;

  • Agency Chief Contracting Officer or “ACCO” shall mean the position delegated authority by the Agency Head to organize and supervise the procurement activity of subordinate Agency staff in conjunction with the City Chief Procurement Officer.