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PREREGISTRATION FORM Participant Name Adults ages 18+ with disabilitiesHome Headdress/ City. #Work PhoneAgeZip Rebirth Displease list 2 Emergency Contacts that can be reached during program hours Emergency Contact
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01
Gather all necessary information and documents such as phone numbers, addresses, and medical information.
02
Start by providing the most important emergency contacts, such as police, fire department, and ambulance services.
03
Continue with listing important medical contacts, such as your primary care physician and nearest hospital.
04
Include other emergency contacts like poison control, local government agencies, and utility companies.
05
Double-check the accuracy of the information before finalizing the emergency contact list.

Who needs please list 2 emergency?

01
Everyone should have an emergency contact list. It is essential for individuals and families to be prepared for unexpected situations.
02
People with medical conditions or disabilities may especially benefit from having a comprehensive emergency contact list, as it can provide crucial information to first responders or caretakers.
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Please list 2 emergency refers to providing the information or details of two emergency contacts.
Anyone who is filling out a form or document that requires emergency contact information is required to list 2 emergency contacts.
To fill out please list 2 emergency, you need to provide the names, phone numbers, and relationships of two individuals who can be contacted in case of an emergency.
The purpose of please list 2 emergency is to ensure that there are reliable contacts available in case of emergencies or unexpected situations.
The information that must be reported on please list 2 emergency includes the names, phone numbers, and relationships of the two emergency contacts.
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