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Appendix 2 – Emergency Contact Details

PLEASE COMPLETE THIS PAGE AND BRING IT WITH YOU TO THE WORKSHOP. YOU WILL
NEED TO HAND IT IN ON ARRIVAL. DON’T SEND IT IN BEFOREHAND. ALL INFORMATION
WILL BE TREATED CONFIDENTIALLY

Please complete the necessary details below of a person you would want us to contact in the
event of an emergency.

Name:

Tel no home:

Tel no work:

Mobile no:

Email:

Relationship to you:

Address:

Name:

Tel no home:

Tel no work:

Mobile no:

Email:

Relationship to you:

Address:

Please sign below to state that you are happy for us to contact either of these people in the
event of an emergency.

Please sign here:
Print name: Date:

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