Kindergarten Emergency Contact Form
Kindergarten Emergency Contact Form
Please fill out this form with the most accurate and up-to-date information. This ensures we can quickly reach you or an authorized person in case of an emergency.
Child's Information
Name
Date of Birth
Parent/Guardian Information
Name
Relationship to Child
Primary Phone Number
Secondary Phone Number (if applicable)
Emergency Contact #1 (other than Parent/Guardian)
Name
Relationship to Child
Phone number
Emergency Contact #2 (other than Parent/Guardian)
Name
Relationship to Child
Phone number
Authorized Person(s) for Pick-Up (if different from above)
Name
Medical Information
Doctor’s Name
Doctor’s Phone Number
Allergies/Medical Conditions
Parent/Guardian Name:
Date:
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