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Emergency Information - Confidential

Please complete this form prior to field trips.

Student shall retain copy (sent to your email) until they return to campus and is responsible for returning signed form prior to departure to their advisor and (for international locations) to Waterloo International, Needles Hall 1101, Fax: 519-888-4355

Information and privacy: questions regarding the collection of information on this form can be directed to the form administrator.