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Hilbert College
Office of Admissions
5200 South Park Ave.
Hamburg, NY 14075

Franciscan Hall, First Floor  
Phone: 716-926-8780
Toll Free: 1-800-649-8003
Fax: 716-649-1152
admissions@hilbert.edu

OFFICE HOURS
Monday-Thurs: 8:30 a.m.-5 p.m.
Friday: 8:30 a.m. - 4:30 p.m.

Enrollment Kit - Emergency Contact Form

REQUIRED OF ALL STUDENTS. THIS FORM MUST BE SUBMITTED PRIOR TO START OF THE SEMESTER. 
Please list your emergency contact information in the event of an emergency or life-threatening situation.
XX/XX/XXXX
Street, City, State, Zip Code

PRIMARY EMERGENCY CONTACT

XXX-XXX-XXXX
XXX-XXX-XXXX

SECONDARY EMERGENCY CONTACT

XXX-XXX-XXXX
XXX-XXX-XXXX
 
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FOR MORE INFORMATION
Barb DeLaRosa • (716) 649-7900, ext. 123 • bdelarosa@hilbert.edu
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5200 South Park Avenue, Hamburg, New York 14075
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