Step 4: Emergency Contact card - OAR Amery School District

Emergency Contact Card

Please enter all emergency information here. Even though this is information that is also on your registration form, we print these cards to send with coaches so they have the information with them at all times.


First Name:	*

Last Name:	*

Parent First Name	*

Parent Last Name	*

Phone:	*

Cell Phone	*

Email:	*

Address:	*

City:	*

State:	*

Zip:	*

test



Doctor's Name:	*

Doctor's Phone	*

Hospital of Choice (location of athletic event may dictate this)	*

Please list any medications student is currently taking:	*

Send a copy of the completed form to this email address :

* Indicates Required fields.