3 minutes
The Childcare Emergency Contact Form can be filled by the parents or legal guardians of the children.
Child's Name
Age
Gender
Home Address
Nationality
Home Phone Number
Emergency Contact Name:
Relationship with child
Phone Number
Address
Name of Doctor
Phone Number
Please type in their/the hospital's address
I, parent/guardian of the child hereby give my consent, that the above given information are correct and can use it in case of an emergency.