Daycare Emergency Contact Form: Free Printable for Each Child

Every child in care needs an emergency contact form on file and close at hand, with who to call if a parent cannot be reached, the child's doctor, allergies and who may pick the child up. State licensing rules usually ask for one, and it is the page you reach for in a hurry.

Print the form below blank and hand it to each family, or type the details here first and print a filled copy. Ask parents to update it whenever a phone number changes. Nothing you type leaves your browser.

Child

Child's full name

Date of birth

Parent or guardian 1

Name

Phone

Parent or guardian 2

Name

Phone

Emergency contact 1 (not a parent)

Name and relationship

Phone

Emergency contact 2

Name and relationship

Phone

Emergency contact 3

Name and relationship

Phone

Doctor

Name and clinic

Phone

Health

Allergies

Medical conditions and medicines

People allowed to pick up (bring photo ID)

Name and phone

Emergency Contact Form

Child
Child's full name	Date of birth
Parent or guardian 1
Name	Phone
Parent or guardian 2
Name	Phone
Emergency contact 1 (not a parent)
Name and relationship	Phone
Emergency contact 2
Name and relationship	Phone
Emergency contact 3
Name and relationship	Phone
Doctor
Name and clinic	Phone
Health
Allergies	Medical conditions and medicines
People allowed to pick up (bring photo ID)
Name and phone	Name and phone

I give permission to contact the people above and to seek emergency medical care for my child if I cannot be reached.

Parent or guardian signature and date

Keep a copy in each child's file and one in your emergency bag for walks and drills.

Enrolling a new family? The free daycare enrollment form covers the rest of the details.

All the paperwork in one set

Home Daycare Forms has 13 printable pages, with an enrollment form, daily reports for infants, toddlers and preschoolers, an incident report, a weekly sign-in sheet, a medication log and a parent handbook outline, in US Letter and A4.

Home Daycare Forms, $9

The 2027 daycare attendance sheets come with it at no extra cost.

More free forms for a home daycare are on the home daycare forms checklist. This is a blank form, not legal advice; check your state's child care licensing rules.