emergency contact

on a form
for a fun run
i wrote down
all the usual
name
address
date of birth

i rushed through it
male
open
category
thirty
seven
dollars

then i stopped

after being alive
for thirty-two years
after going out with you
for two and a half
and after a few seconds' pause
for the first time
but not for the last
i write your name
as my
emergency
contact