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First Name: ___ Last Name: ___ Emergency Contact: ___ City: ___ State: ___ Emergency Contact Phone:___ Phone: ___ Age: ___ Gender: ___Email: ___( X ) 5K Run/Walk: $35 through race day or until sold
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How to fill out city state emergency contact

01
Begin with your personal information, including your full name and address.
02
Provide your contact number and email address for easy reach.
03
List the primary emergency contact, starting with their name and relationship to you.
04
Include the emergency contact's phone number(s) and address.
05
If required, add a secondary emergency contact following the same format.
06
Review the information for accuracy and completeness.
07
Submit the form as directed by your city or state's emergency management department.

Who needs city state emergency contact?

01
All residents in a city or state should fill out an emergency contact form.
02
Families should complete the form to ensure all members are covered.
03
Caregivers and guardians should include emergency contacts for those they assist.
04
Individuals who participate in community programs or activities may also need to provide this information.
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City state emergency contact refers to a designated individual or process for communicating important information to local authorities during emergencies.
Individuals, businesses, or organizations operating within the city/state that may be affected by emergencies are typically required to file a city state emergency contact.
To fill out the city state emergency contact form, provide the required information such as your name, address, phone number, and any additional contact details that may be relevant in an emergency situation.
The purpose of city state emergency contact is to ensure that authorities can quickly reach out to designated contacts during an emergency for coordination and information sharing.
The information that must be reported typically includes the contact person's name, phone number, address, and any alternative contact methods, as well as any relevant medical or special assistance needs during emergencies.
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