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Emergency Contact
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Student Emergency Contact Info
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Bart Simpson
February 23, 1987
Lisa Simpson
May 9, 1981
Ralph Wiggum
2/10/1982
Student 4
Student 5
Student 6
Student 7
Student 8
Bart Simpson
Birthday
2/23/1987
Allergies/Medication
Home Address
742 Evergreen Terrace
Emergency Contact
Mother
Relationship
Phone No. (Emergency)
Father
Homer Simpson
Phone No. (Father)
(000) 000 - 0000
Mother
Marge Simpson
Phone No. (Mother)
(000) 000 - 0000
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