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Illness or accident: Who should be contacted in case of emergency? Name Phone ( ) Name Phone ( ) Attach additional information, if desired. GSSJC F-22 Rev. 06/13 FORMA DE EMERGENCIA PARA ADULTOS Girl Scouts of San Jacinto Council Tropa/Grupo # Nombre Tel fono de casa ( Direcci n ) Ciudad Zona Postal Actividad Fecha Favor de notar alergias o problemas de salud de las cuales debemos saber en caso de enfermedad o accidente: Con quien nos debemos comunicar en caso de emergen.

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  • accidente
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  • Fecha
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  • QUIEN
  • Adultos
  • Notar
  • Tropa
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  • enfermedad
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