Daycare Emergency Contact Form

Keep Every Child Safe with Complete Emergency Contact Information

When you run a daycare or childcare center, having accurate, up-to-date emergency contact information isn't just helpful—it's essential. This daycare emergency contact form gives you a single, organized place to collect everything you need: parent and guardian details, authorized pickup contacts, pediatrician information, allergies, medical conditions, and consent for photos and activities.

Built for Childcare Providers Who Care About Safety

Whether you manage a home daycare, preschool, after-school program, or full childcare center, this template helps you:

• Capture multiple emergency contacts with phone numbers and relationships, so you always have someone to reach
• Create an authorized pickup list to prevent unauthorized adults from collecting children
• Document allergies and medical conditions including medications, dietary restrictions, and specific care instructions
• Store pediatrician and insurance details for quick reference during medical emergencies
• Collect photo and activity consent to stay compliant with parent preferences

The form is designed to be filled out by parents during enrollment or updated annually, and can be easily embedded on your website or sent as a link via email.

Streamline Your Admin Work with Paperform

This template works beautifully on its own, but becomes even more powerful when you connect it to your other childcare tools. Use Stepper to automatically create child profiles in your childcare management software, send confirmation emails to parents, add contacts to your CRM, and trigger reminders when it's time to update emergency information.

Need parents to sign consent forms or waivers? You can send submissions straight to Papersign for secure eSignatures, keeping everything linked to the original emergency contact form.

With conditional logic built in, you can show or hide questions based on parent responses—like asking for medication details only when allergies or conditions are indicated. And because Paperform is SOC 2 Type II compliant, you can trust that sensitive family information is stored securely.

Perfect for Daycare Centers, Preschools, and Childcare Providers

This form is ideal for daycare owners, childcare administrators, preschool directors, camp coordinators, and after-school program managers who need to collect and organize emergency contact information in a professional, thorough way. It's mobile-friendly, easy to update, and designed to give you peace of mind knowing you're prepared for any situation.