| Field Name | Field Description |
|---|---|
| Emergency Contact | Type the name of the emergency contact for the party. |
| Relationship | Select a relationship from the drop-down list which describes the contact's relationship to the party. |
| Address 1 | Type the first line of the address. |
| Address 2 | Type the second line of the address. |
| City, State, ZIP | Type the city, state, and ZIP code of the party’s emergency contact. |
| Phone Number | Type the phone number. |