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Call 9-1-1 for emergencies <br />Out -of -State Contact: <br />Family Emergency Plan <br />Family Member Information <br />Name: <br />Date of Birth: <br />Name: <br />Police non -emergency number: 935-3311 <br />Civil Defense: 935-0031 <br />Telephone Number: ( ) <br />Email: <br />(keep this information up to date): <br />Social Security Number: <br />Medical Information: <br />Date of Birth: <br />Name: <br />Date of Birth: <br />Name: <br />Date of Birth: <br />Name: <br />Date of Birth: <br />Social Security Number: <br />Medical Information: <br />Social Security Number: <br />Medical Information: <br />Social Security Number: <br />Medical Information: <br />Social Security Number: <br />Medical Information: <br />Where to go in an emergency (where do you spend the most time, and what places to you frequent?): <br />Home: <br />Address: <br />Phone Number: <br />Immediate meeting Place: <br />Regional meeting Place: <br />School: <br />Address: <br />Phone Number: <br />Immediate meeting Place: <br />School/or place you frequent: <br />Address: <br />Phone Number: <br />Immediate meeting Place: <br />School/or place you frequent: <br />Address: <br />Phone Number: <br />Immediate meeting Place: <br />Work: <br />Address: <br />Phone Number: <br />Evacuation Location: <br />Work/or place you frequent: <br />Address: <br />Phone Number: <br />Evacuation Location: <br />Other place you frequent: <br />Address: <br />Phone Number: <br />Evacuation Location: <br />Other Place you frequent: <br />Address: <br />Phone Number: <br />Evacuation Location: <br />