Emergency Contact Information

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Ensuring the safety and well-being of our people is a top priority for us. In the event of an unforeseen emergency or incident, it is crucial for us to have up-to-date emergency contact information for all our Members and Casuals.

If you would like to have two emergency contacts, submit a second form.

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Man Number *

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First Name *

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Last Name *

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Emergency Contact First Name *

Your answer

Emergency Contact Last Name *

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Emergency Contact Phone Number *

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Relationship to Member *

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