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Daycare Emergency Contact Form

Free child care forms to make starting your daycare even easier.

2 minutes to complete

Eligibility

The daycare emergency contact form must be completed by the child’s parent or legal guardian.

Questions for Daycare Emergency Contact Form

Questions

Child's Name

The answer should be a text input.

Date of birth

The answer should be a date input.

Parent or Guardian name

The answer should be a text input.

Address

The answer should be a text input.

State/Province

The answer should be a text input.

Postal/Zipcode

The answer should be a number input.

Home phone number

The answer should be a phone number.

Cell phone number

The answer should be a phone number.

Email Address

The answer should be an email input.

10.

Is the Child is Physically Challenged?

The answer should be a single choice:

11.

If YES,Please describe

The answer should be a text input.

12.

Signature of Parent or Guardian

The answer should be a signature.

13.

Date

The answer should be a date input.

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Here are some FAQs and additional information
on Daycare Emergency Contact Form

What is an emergency contact form?

An emergency contact form is a form that lists the contact information for someone who can be contacted in case of an emergency.

Why do I need an emergency contact form?

An emergency contact form is important so that someone can be reached in case of an emergency.

Who should I list as my emergency contact?

You should list someone who can be reached in case of an emergency. This might be a family member, friend, or neighbor.

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