View In:
ArcGIS Online Map Viewer
Name: MedWavRelForm
Display Field: objectid
Type: Feature Layer
Geometry Type: esriGeometryPoint
Description:
Service Item Id: 5bc4f53b14014d3881b42a892a02bef0
Copyright Text:
Default Visibility: true
MaxRecordCount: 1000
MaxSelectionCount: 0
Supported Query Formats: JSON, geoJSON, PBF
Min Scale: 0.0
Max Scale: 0.0
Supports Advanced Queries: true
Supports Statistics: true
Use Standardized Queries: true
Supports ValidateSQL: true
Supports Calculate: true
Extent:
XMin: -180.0
YMin: -90.0
XMax: 180.0
YMax: 90.0
Spatial Reference: 4326
(0)
LatestVCSWkid(0)
Drawing Info:
Renderer:
Simple Renderer:
Symbol: Style: esriSMSCircle
Color: [255, 0, 0, 255]
Size: 8.0
Angle: 0.0
XOffset: 0
YOffset: 0
Outline:
[255, 255, 0, 255] Width: 1
Label: SEN Waiver Form
Description: Survey Data Locations
Transparency: 0
Labeling Info:
Advanced Query Capabilities:
Supports Statistics: true
Supports OrderBy: true
Supports Distinct: true
Supports Pagination: true
Supports TrueCurve: false
Supports Returning Query Extent: true
Supports Query With Distance: true
Supports Sql Expression: true
Supports Query With ResultType: true
Supports Returning Geometry Centroid: false
Supports Binning LOD: true
Supports Query With LOD Spatial Reference: true
Supports Percentile Statistics: true
Supports Having Clause: true
Supports Count Distinct: true
Supports Time Relation: false
Supports Sql Format: false
Supports Query Analytic: true
Supports Query With Current User: true
HasZ: false
HasM: false
Has Attachments: true
HTML Popup Type: esriServerHTMLPopupTypeAsHTMLText
Type ID Field:
Fields:
-
objectid
(
nullable: false, editable: false, defaultValue: null, length: 4, alias: ObjectID, type: esriFieldTypeOID
)
-
globalid
(
nullable: false, editable: false, defaultValue: null, length: 38, alias: GlobalID, type: esriFieldTypeGlobalID
)
-
uniquerowid
(
nullable: true, editable: true, defaultValue: null, length: 38, alias: RowID, type: esriFieldTypeGUID
)
-
cover_disclaimer
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: cover_disclaimer, type: esriFieldTypeString
)
-
contact_email
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Contact Email, type: esriFieldTypeString
)
-
students_full_name
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Participant Full Name, type: esriFieldTypeString
)
-
participant_preferred_name
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Participant Preferred Name (if applicable), type: esriFieldTypeString
)
-
students_date_of_birth
(
nullable: true, editable: true, defaultValue: null, precision: 1, length: 29, alias: Participant Date of Birth, type: esriFieldTypeDate
)
-
students_address
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Participant's Address (Street, City & State, Zip Code), type: esriFieldTypeString
)
-
students_age_at_the_first_day
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Participant's age at the first day of the program., type: esriFieldTypeString
, Coded Values:
[6: 6]
, [7: 7]
, [8: 8]
, ...8 more...
)
-
tshirt
(
nullable: true, editable: true, defaultValue: null, length: 100, alias: Please mark your students t-shirt size for their program shirt, type: esriFieldTypeString
, Coded Values:
[Small: Small]
, [Medium: Medium]
, [Large: Large]
, ...2 more...
)
-
bus_stop
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: What bus stop will your student be using this summer?, type: esriFieldTypeString
, Coded Values:
[Beach Park Middle School, Beach Park: Beach Park Middle School, Beach Park]
, [Daniel Webster Middle School, Waukegan: Daniel Webster Middle School, Waukegan]
, [Jack Benny Middle School, Waukegan: Jack Benny Middle School, Waukegan]
, ...11 more...
)
-
emerg_contact_1_name
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 1. Name, type: esriFieldTypeString
)
-
emerg_contact_1_phone
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 1. Phone Number, type: esriFieldTypeString
)
-
emerg_contact_1_email
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 1. Email, type: esriFieldTypeString
)
-
relationship_to_child
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 1. Relationship to Child, type: esriFieldTypeString
)
-
emerg_contact_2_name
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 2. Name, type: esriFieldTypeString
)
-
emerg_contact_2_phone
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 2. Phone Number, type: esriFieldTypeString
)
-
emerg_contact_2_email
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 2. Email, type: esriFieldTypeString
)
-
relationship_to_child2
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 2. Relationship to Child, type: esriFieldTypeString
)
-
emerg_contact_3_name
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 3. Name, type: esriFieldTypeString
)
-
emerg_contact_3_phone
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 3. Phone Number, type: esriFieldTypeString
)
-
emerg_contact_3_email
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 3. Email, type: esriFieldTypeString
)
-
relationship_to_child3
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 3. Relationship to Child, type: esriFieldTypeString
)
-
medical_information_needs
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: Check any that apply to your child. With awareness of your child's needs, staff may be able to modify activities and techniques for inclusivity., type: esriFieldTypeString
)
-
medical_information_needs_other
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Other, type: esriFieldTypeString
)
-
specify_food_allergies
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Specify Food Allergies, type: esriFieldTypeString
)
-
specify_non_food_allergies
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Specify Non-Food Allergies, type: esriFieldTypeString
)
-
specify_any_physical_emortional
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Specify any physical, emotional or behavioral conditions, type: esriFieldTypeString
)
-
list_triggers_signs_or_symptoms
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: List triggers, signs or symptoms for these conditions, type: esriFieldTypeString
)
-
recommended_techniques
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: What techniques do you recommend in managing your child's behavior?, type: esriFieldTypeString
)
-
list_activities_from_which_the
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: List activities from which the participant should be exempted for health reasons or require special accommodations., type: esriFieldTypeString
)
-
medication_dispensed
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Will your child need medication DURING the program?, type: esriFieldTypeString
, Coded Values:
[Yes: Yes]
, [No: No]
)
-
doctors_name
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Doctor's Name, type: esriFieldTypeString
)
-
doctors_phone_number
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Doctor's Phone Number, type: esriFieldTypeString
)
-
inhaler_epipen_permission
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: My child has permission to carry and knows how to properly use their own inhaler or EpiPen and has been instructed not to show or share with others., type: esriFieldTypeString
)
-
parentguardian_name_med_info
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Parent guardian Name, type: esriFieldTypeString
)
-
responsibility_disclaimer
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Responsibility Disclaimer, type: esriFieldTypeString
)
-
permission_dispense_medication
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Permission to Dispense Medication, type: esriFieldTypeString
)
-
print_students_full_name
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Print Child's Name, type: esriFieldTypeString
)
-
listed_medications
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: Listed Medications, type: esriFieldTypeString
)
-
print_parentguardian_name
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Print Parent/Guardian Name, type: esriFieldTypeString
)
-
insurance_company
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Insurance Company, type: esriFieldTypeString
)
-
policygroup_number
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Policy/Group Number, type: esriFieldTypeString
)
-
participant_id_number
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Participant ID Number, type: esriFieldTypeString
)
-
physicians_name
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Physician's Name, type: esriFieldTypeString
)
-
physicians_phone_number
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Office Phone Number, type: esriFieldTypeString
)
-
past_medical_treatment
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: Past Medical Treatment, type: esriFieldTypeString
)
-
notification_when_do_you_want_t
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Notification: When do you want to be notified for minor injuries (e.g. scape, non-allergic bee sting, bloody nose, sliver) that do not limit participation?, type: esriFieldTypeString
, Coded Values:
[Immediately: Immediately]
, [At pick up: At pick up]
)
-
printed_name
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Printed Name, type: esriFieldTypeString
)
-
important_information
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Important Information, type: esriFieldTypeString
)
-
photography_release
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Photography Release, type: esriFieldTypeString
)
-
release_of_liability_permission
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Release of Liability & Permission to Secure Treatment, type: esriFieldTypeString
)
-
program_waiver_signed_date
(
nullable: true, editable: true, defaultValue: null, precision: 1, length: 29, alias: Date, type: esriFieldTypeDate
)
-
printed_name_of_parentguardian
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Printed Name of Parent/Guardian, type: esriFieldTypeString
)
-
transportationwaiverinfo
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Please read this form carefully and be aware that in consideration for the Lake County Forest Preserve District providing transportation services for the Science First in Lake County program, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/ward might sustain as a result of said services, including but not limited to, vehicle operations and boarding and exiting the vehicle.I recognize and acknowledge that the Lake County Forest Preserve District is neither a common carrier nor in the business of providing transportation services to the public. I further recognize and acknowledge that there are certain risks of physical injury to vehicle passengers, and I voluntarily agree to assume the full risk of any injuries, damages or loss, regardless of severity that my minor child/ward or I may sustain as a result of participating in any and all activities connected with or associated with receiving transportation services, including, but not limited to, injuries, damages and loss arising out of negligent operation or supervision of the vehicle. I further agree to waive and relinquish all claims I or my minor child/ward may have (or accrue to me or my child/ward) against the Lake County Forest Preserve District, including its respective officials, agents, volunteers and employees (hereinafter collectively referred as "Parties").I do hereby fully release and forever discharge the Parties from any and all claims for injuries, damages or loss that my minor child/ward or I may have or which may accrue to me or my minor child/ward and arising out of, connected with, or in any way associated with said transportation services.I further agree that this agreement shall be governed by the laws of the State of Illinois.I have read and fully understand the above waiver and release of all claims. If registering on-line or via fax, my on-line or facsimile signature shall substitute for and have the same legal effect as an original form signature., type: esriFieldTypeString
)
-
transporationwaivername
(
nullable: true, editable: true, defaultValue: null, length: 100, alias: Participant Name, type: esriFieldTypeString
)
-
transportationwaiverdate
(
nullable: true, editable: true, defaultValue: null, precision: 1, length: 29, alias: Date, type: esriFieldTypeDate
)
-
created_user
(
nullable: true, editable: false, defaultValue: null, length: 255, alias: created_user, type: esriFieldTypeString
)
-
created_date
(
nullable: true, editable: false, defaultValue: null, precision: 1, length: 29, alias: created_date, type: esriFieldTypeDate
)
-
last_edited_user
(
nullable: true, editable: false, defaultValue: null, length: 255, alias: last_edited_user, type: esriFieldTypeString
)
-
last_edited_date
(
nullable: true, editable: false, defaultValue: null, precision: 1, length: 29, alias: last_edited_date, type: esriFieldTypeDate
)
Templates:
-
Name: New Feature
Description:
Prototype:
Drawing Tool: N/A
Relationships:
-
SEN_Waiver_Form_medications (0) -- Related To:
medications (1)
Capabilities: Create,Editing,Sync,Uploads
Sync Can Return Changes: true
Is Data Versioned: false
Supports Rollback On Failure: true
Supports ApplyEdits With Global Ids: true
Supports ApplyEdits By Upload Id: true
Edit Fields Info:
- Creation Date Field: created_date
- Creator Field: created_user
- Edit Date Field: last_edited_date
- Editor Field: last_edited_user
Ownership Based Access Control:
- Allow Others to Update: true
- Allow Others to Delete: true
- Allow Others to Query: true
Supports Query With Historic Moment: false
Supports Coordinates Quantization: true
Child Resources:
Supported Operations:
Query Attachments
Query Analytic
Query Top Features
Query Related Records
Query Bins
Apply Edits
Add Features
Append
Validate SQL
Generate Renderer
Return Updates
Metadata
Update Metadata