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Alternative Breaks Emergency Contact & Verification of Medical Insurance Form Participant Name: Emergency Contact/Medical Info Please list any allergies, medical conditions or medications you are
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How to fill out alternative breaks emergency contact:

01
Start by locating the emergency contact section on the alternative breaks form.
02
Fill in the required fields with your personal information, such as your full name and contact information.
03
Provide the name of the person you would like to be contacted in case of an emergency during your alternative breaks program.
04
Include the emergency contact's phone number and email address if available.
05
Make sure to double-check the accuracy of the information you have provided.
06
If you have more than one emergency contact, check if the form allows for multiple entries. If it does, provide the necessary details for each contact.
07
If there is any additional information or specific instructions related to the emergency contact, make sure to read and follow them accordingly.

Who needs alternative breaks emergency contact:

01
Any individual participating in an alternative breaks program should provide an emergency contact.
02
This includes students, staff members, or volunteers involved in the program.
03
It is important to have an emergency contact in order to ensure the well-being and safety of participants during their alternative breaks experience.
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Alternative breaks emergency contact is a person designated to be contacted in case of an emergency during an alternative break program.
All participants of an alternative break program are required to provide an emergency contact.
Participants can fill out the alternative breaks emergency contact by providing the name, relationship, phone number, and any other relevant information of their chosen emergency contact.
The purpose of alternative breaks emergency contact is to ensure that there is a designated person to be contacted in case of an emergency during the program.
Participants must report the name, relationship, phone number, and any other relevant information of their emergency contact.
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