Free Kindergarten Emergency Contact Form Template

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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