Volunteer Name
In the event of an emergency I give permission to Big Brothers Big Sisters of London & Area to contact my emergency contact as listed below. I also acknowledge that this emergency contact may be called if Big Brothers Big Sisters of London & Area has difficulty connecting with me through traditional means (phone, mail, email, in person, etc.). I understand that Big Brothers Big Sisters of London & Area will not share my emergency contact information with other parties, without my express prior consent where required.
Emergency Contact Name
MM slash DD slash YYYY
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