HTML Preview Gym Employee Emergency Notification Form page number 1.


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Sample Employee Emergency
Notification Form
In the event of an emergency, I the undersigned employee, authorize The Gymnastics
Center to notify the following person:
Name:
Relationship to Employee:
Phone Number
Address:
In the event you are unable to notify such person, the Gymnastics Center is authorized
to notify:
Name:
Relationship to Employee:
Phone Number
Address:
I understand and agree that the Gymnastics Center will have no obligation or liability to
notify such persons.
Date:
Employee Signature
Printed Employee Name
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