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Emergency Contact Form
YOUR OWN DETAILS:
Name
Email
Phone
Please list any allergies and medical conditions
Please list any injuries or anything else you think I should know
YOUR EMERGENCY CONTACT DETAILS:
Contact Name
This contact is my
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Contact Phone Number
I am not experiencing symptoms of fever, cough or sore throat. I haven’t been in close contact with a Covid-19 patient in the last 10 days
During the Walk photographs may be taken to promote my walks. Please indicate whether you give consent for your photo to be used for this.
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