Volunteer-Emergency Information

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Emergency Contact Information

Please provide us with the following information. Keep in mind we need information for people who are not going on the trip with you. Don't give us your spouse as a contact if they are traveling with your group.

First Name *

Last Name *

Emergency Contact

Emergency Relationship

Emergency Phone No.

Emergency Contact Address

Employer Name

Employer's Telephone

Employer's-email

Employer's Address

Next Of Kin Name *

Next Of Kin telephone number

Next Of Kin email

Next Of Kin Address

Data Privacy & Consent

Yes, I understand that in order to process my donations or use other functions on this website, my Personal Information and Other Information will be gathered and used according to the Canvasback Privacy Policy.

Canvasback has never sold, shared, or rented your personal information to anyone for any purpose unless required by law. Nor do we show you other people's ads. And we remain resolved to never do so. This has been our approach for over 35 years, and we remain committed to it. Canvasback Missions is respectful of your Personal Information and Other Information that is gathered during your visit to our site. We also provide you with many opportunities to opt-out of our services at any time. See our full Privacy Policy. If you have questions about this Privacy Policy, please contact Canvasback Missions by our Contact Us form link on our website.

Click this link to see our Privacy Policy

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Volunteer Emergency Information