Student Name:
ID#:
Cell Phone Number (or best number for reaching you in an emergency):
Emergency Contact name (parent, spouse, or other family member):
Contact's Relationship:
Emergency Contact's Cell Phone Number (or best number for reaching contact in an emergency):
I understand that Mars Hill College will use my personal cell phone number and other information in conjunction with the campus emergency management system, "Contact Now."
I understand that this information will be used exclusively for emergency and other priority notifications by the college.
I understand that if I refuse to provide my contact information, I cannot be notified in case of an emergency or crisis on campus.
Student Initials:
I do not have a cell phone for use in notification of an emergency.
