Babes,  
You can create your own personal  Emergency Information Card here to carry with you when you bike.  

Two ways to do it -- 

1.  Type your information:
Just type into the on-line form below and submit.  Then print out the confirmation page once you fill in the form.


or

2.  By hand:
Just press submit and print out the confirmation page.  Then by hand, write in the information.

 

Emergency Information   BABES on BIKES
NAME
ADDRESS
CITY
STATE
 ZIP
PHONE (H)
INSURANCE INFO (POLICY, 
SUBSCRIBER'S NAME, ID, ETC.)
PHYSICIAN NAME / PHONE
BLOOD TYPE
DRUG ALLERGIES
MEDICAL CONDITIONS
EMERGENCY CONTACTS & OTHER INFO.

  

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Please direct comments or questions about this website to the Webmaster Babe:  webmaster@babesonbikes.org