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Athletics Emergency Information Form 2019-2020
The information collected below will be used in the event of any emergency, as well as carried with coaches and teachers when off campus. Please complete all sections. Thank you.
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Student First Name
*
Your answer
Student Last Name:
*
Your answer
Full Name of Emergency Contact No. 1
*
Your answer
Cell Phone Number for Emergency Contact No. 1
*
Your answer
Email Address of Emergency Contact No. 1
*
Your answer
Full Name of Emergency Contact No. 2
Your answer
Cell Phone Number for Emergency Contact No. 2
*
Your answer
Email Address for Emergency Contact No. 2
*
Your answer
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