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Staff Emergency Contact Form
Please submit the information for whom you would want to be contacted in case of an emergency.
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Email
*
Your email
Your Name (first and last, ie: John Smith)
*
Your answer
Site
*
Choose
AECC
Hayes
Washington
Willard
AJHS
AHS
Alt Ed
GRC
Transportation
Food Service
Maintenance
Board Office
FIRST Emergency Contact Name (first and last, ie: John Smith)
*
Your answer
FIRST Emergency Contact Phone Number (Please include area code, ie: 580-555-5555 )
*
Your answer
How is this person related to you? (ie: spouse, sibling, neighbor)
*
Your answer
SECOND Emergency Contact Name (first and last, ie: John Smith)
Your answer
SECOND Emergency Contact Phone Number (Please include area code, ie: 580-555-5555 )
Your answer
How is this person related to you? (ie: spouse, sibling, neighbor)
Your answer
Submit
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