My Places

My Places

List common places where you and your family spend the majority of your time such as work, school or daycare. This information can be crucial when loved ones are trying to find a contact number or address.

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Place Name:

Address:

Address 2:

City:

State:

Zipcode:

Phone Number:

Special Instructions: (ex. remember to get your medications) Words left: 40

Emergency Plan: (ex. inform out-of-town contact of whereabouts) Words left: 40

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Tip:

Not sure of an address? Enter the name and city of a location into the Google search box, click the Search button, then simply click "Add Location to Form". It's that easy!

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