Emergency Contact List (Buddy Groups)

 In past experience, we have had friends that we have made on the list "disappear" and we had no way of knowing if they were all right or not. We have subscribers that live alone and might need help. So we devised a plan to try and keep in touch with other subscribers privately. The concept is that individuals who wish to participate, provide some information concerning how they may be contacted and the name and telephone of a neighbor or relative who also could be contacted for the same purpose. Everyone is assigned to a "Buddy Group" but only basic identification information is provided to the group.

The Buddy Group decides for themselves how they want to contact each other, how often (but it is the intention to contact all that live alone at least once daily), and what additional information they want to exchange. In the event that someone disappears, the List managers are contacted using the email address [email protected] (This goes to Bill, Elaine, Howard and Debby)  Then a phone call or two is made to try and determine where the individual is and if they need assistance. The system does work and we have found it necessary to use it several times.  But this is what it is all about; spreading our friendship in the time of need. So if you are interested in joining our Emergency Contact List please fill out the form below. The information will be maintained in a database and not released to anyone unless it is necessary to determine the well being of a fellow group member.

 
Please Add Me To a Buddy List.  I understand that the Buddy Group Program is  addition to my support structure and not intended to be the primary means for handling emergencies. 

Please fill in all blanks or explain why left incomplete

Name:
Address:
City/State/Zip
Do you live alone?
Phone:
E-Mail:
Emergency Contact Name: 
Someone who does not live with you. 
Emergency Contact Relationship:
Emergency Contact Phone:
Emergency Contact E-Mail:
Reason For Your Interest In 
Program and Other Remarks:

If You Press    you are acknowledging the fact that you want to be included in the Emergency Contact List Program and that you realize that this program is not intended primarily as a "chat group".  In order to remain in the group you must maintain daily contact if you live alone (or provide advance information that you will not be available) and if you do not live alone, then frequent communication to others in the group is expected.  These groups normally do establish a close bond for those that belong, but that is a side benefit - not the main purpose.   
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