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ANNUAL SESSION

STAFF EMERGENCY CONTACT & TRAVEL INFORMATION

AAO Staff traveling to Annual Session should complete the form below. Please provide your contact information along with information on who can be contacted in case of an emergency while you are onsite. Be sure those listed are aware they may be contacted in an emergency situation.

Staff Information
Name*
First Name Last Name
Cell Phone Number*
Emergency Contact Information (Primary)
Name (Primary Contact)*
First Name Last Name
Cell Phone (Primary Contact)*
Other Phone (Primary Contact)
Notes (Primary Contact)
Emergency Contact Information (Secondary)
Name (Secondary Contact)*
First Name Last Name
Cell Phone (Secondary Contact)*
Other Phone (Secondary Contact)
Notes (Secondary Contact)
Arrival (at meeting destination)
Airline*
Flight #*
Arrival Date*
MM slash DD slash YYYY
Arrival Time*
Time the flight lands

: Hours

Minutes

AM/PM
Departure (leaving meeting destination)
Airline*
Departure Flight #*
Departure Date*
MM slash DD slash YYYY
Departure Time*
Time the flight takes off

: Hours

Minutes

AM/PM

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ANNUAL SESSION

STAFF EMERGENCY CONTACT & TRAVEL INFORMATION

Staff Information

Emergency Contact Information (Primary)

Emergency Contact Information (Secondary)

Arrival (at meeting destination)

Departure (leaving meeting destination)