Child emergency contact form for parents to fill in
A one-page child emergency contact form: who to call first, three backup contacts and allergies, plus cut-out cards for the backpack, cubby and field trip bag. Edit and download.
- Fill in your detailsYour center, room and dates.
- Make it yoursEdit, add or remove anything. Turn parts on or off.
- Check the previewIt updates as you type.
- Download PDFOr get a blank copy to fill in by hand.
Each section below shows what will print. Use the switch to keep or remove a section, edit the policy wording, and add your own questions at the bottom.
Your own questions
OptionalWhat goes on a child emergency contact form?
The goal is simple: if something happens, a teacher can reach a trusted adult in under a minute. Keep it to one page so it is easy to read under stress.
- The child's full name, nickname and date of birth
- Both parents' cell phones, and the best time to reach them
- Three backup contacts who live or work nearby
- Allergies or medical needs that a backup contact must know
- The child's doctor
- The language spoken at home
Choosing good emergency contacts
Close by
Pick adults who can get to the center in about 30 minutes, like a grandparent, neighbor or friend.
Told and ready
Ask each person first, and make sure they know they are on the list.
Able to pick up
If you want them to pick up, also add them to the pick-up list and remind them to bring photo ID.
Kept up to date
Phone numbers change. Check the form every few months and at the start of each school year.
Running a center? Use our full emergency contact form for daycare with pick-up lists for your enrollment packet, the child care emergency form for medical consent, and the pick-up authorization form.
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Common questions
What is a child emergency contact form?
A short form with the people to call if a child is hurt, sick or needs to be picked up: the parents, then backup contacts in order, plus allergies or medical needs.
How many emergency contacts should a child have?
At least two besides the parents, and three is better. Choose adults who live or work nearby and can come quickly.
Can an emergency contact pick up my child?
Only if they are also on the center's authorized pick-up list. Most centers ask them to show photo ID.
What are the cut-out cards for?
Fill in the small cards and keep one in the child's backpack or cubby and one in the field trip bag, so the key numbers are always with the child.
Is this emergency contact form free?
Yes. Add your details, turn the cards on or off and download a printable form.