Personal Emergency Contact
Information
Personal Emergency Instructions
You can email us with your personal instructions for you and your
family in case of an emergency. You may want to include
contact information for family in other countries or here in Costa
Rica. We will provide this service for members and non-members
and for temporary visitors.
You can copy and paste below in an email to us to get started or just write your own instructions.
Select text below, Ctrl + C (copy), open any email to us peggy@surfsideassociation.com Ctrl + V (paste) , double click blanks and type in your information.
You can copy and paste below in an email to us to get started or just write your own instructions.
Select text below, Ctrl + C (copy), open any email to us peggy@surfsideassociation.com Ctrl + V (paste) , double click blanks and type in your information.
My Information
Name: _________________
Costa Rica Residence
I live in CR _____ part time ____ full time ____ just visiting - give dates _________________
Phone: ______________ Cell: ______________
Address: ______________
Other Residence
Phone: ______________ Cell: ______________
Address: ______________
Email: ______________
____________________________________________________________________________
In case of an emergency please contact in Costa Rica:
Name: ______________ Relationship: ______________
Phone: ______________ Cell: ______________
Address: ______________
Email: ______________
In case of an emergency please contact in ______________ <what country:
Name: ______________ Relationship: ______________
Phone: ______________ Cell: ______________
Address: ______________
Email: ______________
____________________________________________________________________________
Additional Instructions: