Templates
Daycare emergency contact form

Daycare emergency contact form

This form helps you collect essential information, including emergency contacts, medical details, and authorized pick-ups, with everything organized in one place.

Use this template
or download pdf
Daycare emergency contact form

This form helps you collect essential information, including emergency contacts, medical details, and authorized pick-ups, with everything organized in one place.

Use this template
or download pdf

About the Daycare emergency contact form

Ensuring the safety and wellbeing of children is the top priority for any daycare. With a daycare emergency contact form, you can keep all critical contact information at your fingertips—whether it’s reaching parents and authorized guardians or handling medical needs quickly. This ready-to-use template makes it easy to collect and save essential details so your team can access up-to-date information when it matters most.

Key elements of the daycare emergency contact form

Each section in the form has its own purpose for supporting safety and communication at your daycare:

  1. Child and parent details: This section gathers key personal information such as the child’s name, date of birth, and the parents’ contact numbers. It’s vital to confirm that the information is accurate and up-to-date so staff can easily reach the right person during emergencies.
  2. Emergency contacts: Include additional contacts for situations when parents or guardians are unavailable. Make sure to document the relationship to the child and phone numbers of trusted individuals who can respond promptly.
  3. Medical information: Capture essential medical details such as allergies, current medications, and the child’s primary physician. Having this information on hand allows your staff to act quickly in case of a health-related emergency.
  4. Authorized pick-up: List individuals allowed to pick up the child, providing peace of mind for both the daycare and parents. Clear authorization prevents any confusion or security issues during pick-up times.

Tips for using the daycare emergency contact form

Follow these tips to be better prepared for emergencies and boost the safety of your daycare.

Make it a habit to update contact details and medical information. Families move, phone numbers change, and children’s medical needs can change. By scheduling periodic reviews, you can keep the information accurate. You might set reminders for parents to update their details during parent-teacher meetings or through email requests.

Always include multiple emergency contacts per child. Relying on just one contact can lead to delays if that person is unavailable during an emergency. By listing at least two or three contacts, you create a backup plan.

It’s essential for parents to sign off on the information. This step guarantees that they’ve reviewed the contact details and medical info, confirming its accuracy. They can also make any necessary updates, reducing the risk of outdated or incorrect data.

Download Lumiform’s daycare emergency contact form today

Use the daycare emergency contact form to gather essential information in one place. With fields for emergency contacts, medical details, and authorized pick-ups, this template allows you to keep track of everything needed to respond quickly and accurately. It’s a practical way to improve safety and streamline daily operations.

Related categories

Preview of the template
Page 1
Child Information
Child's Full Name
Date of Birth
geolocation!!!
Phone Number
Parent/Guardian Information
Parent/Guardian 1 Name
Relationship to Child
Primary Phone Number
Secondary Phone Number
Email Address
Additional Emergency Contacts
Contact 1 Name
Relationship to Child
Phone Number
Contact 2 Name
Relationship to Child
Phone Number
Medical Information
Primary Physician Name
Physician Phone Number
Insurance Provider
Policy Number
Allergies
Medications
Medical Conditions
Authorized Pick-Up
I authorize the following individuals to pick up my child from daycare
Signature
Parent/Guardian Signature
Date

Frequently asked questions

How often should I update emergency contact information for children in daycare?

You should update emergency contact information at least once a year or whenever families notify you about changes. A good time to check for updates is during parent-teacher meetings or registration renewals. You can also ask parents to verify their details during daycare events throughout the year.

Who are the emergency contacts other than parents?

Aside from parents, emergency contacts can include relatives like grandparents, aunts, or uncles. You can also list close family friends or neighbors who are familiar with the child and live nearby. Emergency contacts must be easily reachable and able to respond quickly when needed.

What should I do if I can’t reach any of the emergency contacts listed?

If you can’t reach any of the listed contacts, follow your daycare’s emergency protocol. This might involve contacting local authorities or emergency services, especially if the situation is urgent. It’s important to document all contact attempts and to keep the child safe until a responsible adult arrives.

What’s the best way to store emergency contact forms for easy access?

With Lumiform, you can store all emergency contact information digitally, making it easily accessible from mobile devices or computers. Having a centralized system allows your staff to quickly retrieve and update forms as needed, and ensures that the most current information is always available in case of an emergency.

How many emergency contacts should I include for each child in daycare?

It’s recommended to include at least two to three emergency contacts per child. If the primary contact is unavailable, then there will be backup contacts who can be reached quickly. With multiple contacts, you’re more likely to get a quick response during emergencies.

This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.