Parent/Guardian Work & Cell Numbers: __________________________________________________
Emergency Operator: 911
Fire Department: ____________________________________________
Police: ____________________________________________________
Ambulance: _________________________________________________
Poison Control Center: 1-800-222-1222
Doctor: ___________________________________________
Hospital: _____________________________________________________
Neighbor Contact: ___________________________________________
Out-of-Town Family Contact:
______________________________________________
Gas Company:_____________________________________________
Apartment Manager: ________________________________________
Our Address: __________________________________________________
Our Phone Number: ___________________________________________
Cross Streets/Directions to Our Home:______________________________
_____________________________________________________________
Other________________________________________________________
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