Emergency contact form template
Free student emergency contact form template — collect parent details, medical info, and authorized pickups. Customize for any school or daycare. Start now
Who is this emergency contact form template for?
Code your own contact form or use a form builder?
FAQ
An emergency contact form collects critical information schools and daycares need to reach parents or guardians quickly during an emergency. It typically includes parent names, phone numbers, relationships, authorized pickup persons, and medical details like allergies and current medications. Schools use these forms to ensure every child has up-to-date safety information on file.
Essential fields include the student's name, date of birth, grade, and home address. You'll also need primary and secondary emergency contact details — name, phone, and relationship — plus authorized pickup persons, known allergies, medical conditions, current medications, doctor information, and a consent checkbox for emergency medical treatment.
Yes, every part of this template is fully customizable. Add or remove fields, change colors and fonts to match your school branding, rearrange sections, and include grade-specific questions. Whether you run a daycare, elementary school, or high school, you can tailor the form to fit your exact requirements without any coding.
Yes, this template is completely free with no hidden costs or credit card required. Create unlimited emergency contact forms, collect unlimited responses, and share them via link or embed on your website. You can also connect responses to Google Sheets or other tools for easy record management.
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