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Emergency/Medical Info
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* Indicates required question
Name
*
Your answer
ON-PLAYA emergency contact person
*
Your answer
ON-PLAYA emergency contact info: Where they are camping, playa name, other description
*
Your answer
OFF-PLAYA emergency contact person & relationship
*
Your answer
OFF-PLAYA emergency contact phone, email or instructions
*
Your answer
Are you taking any medication?
*
Your answer
Do you have any health conditions, allergies, or concerns?
*
Your answer
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