Checklist
In an Emergency
Home Address
Home Phone Number
Parent’s Names
Child’s Information
Child’s Name
Age
Food Allergies
Other Allergies
Medical Conditions /
Medication Details
Parent’s Contact Information
Father’s Mobile #
Mother’s Mobile #
Expected time of return
Other Instructions
Food allowance?
Bedtime Routine
Activities they likes to
do
Activities Not allowed
Alternative Contact Information (if needed)
Name
Phone #
Location
Spare house keys
location

Emergency form

  • 1.
    Checklist In an Emergency HomeAddress Home Phone Number Parent’s Names Child’s Information Child’s Name Age Food Allergies Other Allergies Medical Conditions / Medication Details Parent’s Contact Information Father’s Mobile # Mother’s Mobile # Expected time of return Other Instructions Food allowance? Bedtime Routine Activities they likes to do Activities Not allowed Alternative Contact Information (if needed) Name Phone # Location Spare house keys location