Medium

Available on

Apple Android Windows

Student Athlete Emergency Contact Information Mobile App

Use this mobile application to quickly fill out and submit emergency contact and insurance information for the student athlete. This facilitates quick and effective communication during emergency situations. Parents and students can acknowledge and verify data by signing off from the app. When the user completes this app, GoCanvas will automatically store the user's information in their account in a secure location in the GoCanvas Cloud, or email a PDF. Users can access their data anytime from the GoCanvas Cloud.

  • Lendlease
  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

Want to learn more about GoCanvas?

Request a Demo

Take a peek inside the Student Athlete Emergency Contact Information Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

  • {{data.title}}

Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Name

  • Ico textbox

    Sport

  • Ico date

    Date of Birth

  • Ico statictext

    STUDENT-ATHLETES SHOULD FILL OUT WITH PARENTS TO GUARANTE INFORMATION IS CORRECT

  • Ico statictext

    The Acknowledgement of Insurance Requirements must be read and understood.

  • Ico textbox

    Parent/Guardian Name

  • Ico textbox

    E-Mail Address

  • Ico multiline

    Address

  • Ico textbox

    Home Telephone #

  • Ico textbox

    Work Telephone #

  • Ico textbox

    Cell Telephone #

  • Ico textbox

    Policy Holder Name

  • Ico textbox

    Relation to Student-Athlete

  • Ico multiline

    Address

  • Ico textbox

    Home/Cell Phone

  • Ico textbox

    Work Phone

  • Ico textbox

    Insurance Company Name

  • Ico multiline

    Insurance Co.

  • Ico textbox

    Group #

  • Ico textbox

    ID #

  • Ico date

    Effective Date of Policy

  • Ico date

    Expiration Date

  • Ico textbox

    Primary Physician

  • Ico textbox

    Phone #

  • Ico textbox

    Policy Limit

  • Ico textbox

    Policy Deductible

  • Ico textbox

    Policy Co-Pay

  • Ico textbox

    Does this policy cover athletically related injuries?

  • ...and More!

Related Education Apps... and they're all free for GoCanvas subscribers!

App Name

Sport-Specific Checklist: Equipment S...

The Sport-Specific Checklist: Equipment Storage Areas mobile app allows recreational/ organized sport club facility manage...

App Name

Pole vault Warning and Waiver

In track and field, pole vaulters propel themselves into the air to jump over a bar and plant themselves on the landing pa...

App Name

Wrestling Parents Instruction in Medi...

This mobile app provides your club coach or administrator instructions on how to proceed if an athlete becomes injured or ...

App Name

Student Athlete General Paperwork

Manage and organize forms that need to be submitted to the athletic department using this mobile application. The app list...

App Name

Student Athlete Sickle Cell Trait Wai...

The NCAA recommends that all student athletes be aware of their sickle cell status. This mobile app contains information t...

App Name

General Athletic Training Room Policies

This mobile application is for training rooms in schools. It covers things like food and drink, sign in, clothing, equipme...

App Name

Concussion Evaluation Procedures

This mobile application is a checklist on about a concussion follow up. It includes a checklist for time of injury, 30 min...

App Name

Public School Athletic Trainer Mid-Ye...

This mobile application takes place of a class survey for a training class. It includes the trainer's name, status and sch...

More Information


Related Blog Posts