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Bonk Collective Club Emergency Contact Form
Sometimes things happen, so in case of an emergency we want to make sure we can reach out to the right people!
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Email
*
Your email
Today's Date
*
MM
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DD
/
YYYY
Your Name
*
Your answer
First person to call - name and best phone number
*
Your answer
Anyone else we should call? Please list their name along with a phone number.
Your answer
Any additional information you would like us to know for medical purposes? Example: allergic to a certain medication
Your answer
Send me a copy of my responses.
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