Emergency Contact Information printable pdf download

EMERGENCY CONTACT INFORMATION

Please complete the below (in block capitals) to include at least one person, but preferably two people, whom

we may contact in the event of an emergency, and return to Nick Kelly. Emergency contact details could be

provided, e.g. for parent, guardian or close friend etc.

These details will be kept secure and only used in case of an emergency. This information is very important, if

the following details change at any time, please let me know so I can update your details accordingly.

ATHLETE FIRST & LAST NAME:

……………………………………........………...… DATE: ……………………………………

EMERGENCY CONTACT 1

First & Last Name:

…………………………………………………………….......................…………………………………………….

Relationship to you:

…………………………………………………………….......................…………………………………………….

Address :

…………………………………………………………….......................…………………………………………….

Home Tel:

………………………………………………………………………………………………………….…………….………..

Work Tel:

………………………………………………………………………………………………………….…………….………..

Mobile:

………………………………………………………………………………………………………….…………….………..

EMERGENCY CONTACT 2

First & Last Name:

…………………………………………………………….......................…………………………………………….

Relationship to you:

…………………………………………………………….......................…………………………………………….

Address:

…………………………………………………………….......................…………………………………………….

Home Tel:

………………………………………………………………………………………………………….…………….………..

Work Tel:

………………………………………………………………………………………………………….…………….………..

Mobile:

………………………………………………………………………………………………………….…………….………..

For your own use, you may wish to consider storing the word “ICE” in your mobile ’phone address book, and

against enter the number of the person you want to be contacted “In Case of Emergency”. For more than one

ICE contact, store as ICE1, ICE2 etc. In an emergency situation ambulance or hospital staff will then be able to

quickly find out who your emergency contacts are and make contact with them.

Queries/Applications to: Nick Kelly , GB Taekwondo, Excel House, Etihad Campus, Manchester, M11 3FF

email: nick.kelly@gbtaekwondo.co.uk - office tel: 0161 230 1133 – office fax: 0161 230 1131

Emergency Contact Information