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Wapakoneta City Schools EMERGENCY PROCEDURE FORM & INTERNET ACCESS FORM Student Name: Date of Birth: Gender: M F 2013-2014 Grade: Teacher: Address: One Call Now Phone Number: Email address (for school
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Emergency contacts: Fill in the details of your emergency contacts, such as their names, relationships, phone numbers, and addresses. Make sure to include individuals who can be easily reached during an emergency.
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Medical information: Provide any essential medical information, such as known allergies, any chronic medical conditions, required medications, or any specific medical notes that emergency personnel should be aware of.
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Special considerations: If you have any specific needs or requirements during an emergency, such as mobility issues or language preferences, make sure to include this information in the designated section.
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Remember, the specific need for an emergency procedure form amp may vary depending on local regulations and organizational policies. It is always important to follow any guidelines or requirements set forth by the respective authorities or organizations.
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