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emergancy contact infromation
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What is your name?
*
Please give your first and last name
Your answer
Who should I call if you are in an accident in the lab?
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This would be the person how will meet us at the hospital.
Your answer
What is the phone number for the person you listed in the last question?
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Give the number I am most likely to be able to contact this person at.
Your answer
Please give me an e-mail for the person you listed in question 2.
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Your answer
If I can't get in contact with your first choice, who would you like me to call next?
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Give the persons name. Maybe an aunt or grandparent.
Your answer
What is the phone number for the person in the last question?
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Give the number I am most likely to be able to reach them at during the school day.
Your answer
Which hour are you in?
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