Extra Life Emergency Contact Form

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This form is for NON-TEAM MEMBER GUESTS that attend Extra Life. This MUST be completed for all guests who are still in high school and/or under the age of 18.

If a guest attempts to attend the event without completing this form, they WILL be asked to leave until it is completed.

Guest First and Last Name *

Team Member First and Last Name *

Which Team Member invited you to join us for Extra Life?

Your Phone Number *

Please use this format XXX-XXX-XXXX

Emergency Contact Name *

Who should we contact in the case of an emergency?

Relation *

How is the Emergency Contact person related to you?

Parent

Grandparent

Other Family

Friend not attending Extra Life

Emergency Contact Number *

Please use this format: XXX-XXX-XXXX

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