Emergency Contact Form — shared by the community
Sam B. shared this 20-question build with 1 conditional rule already wired up. Test it below, then take a copy.
A ready-to-use daycare forms form for small teams who need a reliable intake process: 20 questions, 2 pages, 1 conditional rules.
- Shared by
- Sam B. · Customer success
- Questions
- 20
- Replies
- 8
- Copies taken
- 577
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Live preview and test console
This is the real form. Answer it to test the 1 conditional rule — nothing is sent or stored.
Page 1 of 2 — Child & guardians
Every question on this page is currently visible.
Works for you? Take Sam B.'s copy into your own workspace — questions, rules and settings included.
Who this template is for
Emergency Contact Form is built for small teams who need a reliable intake process who need to collect the same complete information from everyone.
- Small teams who need a reliable intake process working in daycare forms.
- Teams who need to collect the same complete information from everyone without writing code or paying for a custom build.
- Anyone replacing chasing missing details over email with one structured record per enquiry.
- Respondents are the people you send it to — the form asks them 20 questions across 2 screens.
- Mobile-heavy audiences, thanks to the one-question-per-screen card layout.
Why this form is useful
It removes the cost of chasing missing details over email and turns each submission into a record your team can act on immediately.
- 14 questions are required, so submissions arrive complete instead of needing a follow-up email.
- It captures a phone number for urgent follow-up.
- It records a signature you can keep as proof of agreement.
- It pins the request to a specific date.
- Conditional logic hides 1 question until they are relevant — shorter forms convert better than long ones.
- Splitting the form across 2 pages keeps each screen short and shows respondents how much is left.
- Every response is stored, searchable and exportable, so nothing depends on one person's inbox.
How to use this template
From copy to live form is a few minutes of work, and every step is reversible.
- 1Press “Use this template” — a fresh copy of Emergency Contact Form lands in your workspace, ready to edit.
- 2Rename or delete any question, and change what is required. Nothing here is fixed.
- 3Open Notifications and add the email addresses that should be alerted on each submission; add an auto-reply to the respondent if the form collects an email address.
- 4Publish it, then either share the link directly or paste the embed snippet into your site — the embedded form resizes to fit and loads no marketing or advertising trackers.
- 5Watch responses land in Submissions, where you can filter, label and export them to CSV or PDF.
Logic and conditions blueprint
Exactly how this form behaves as it is answered — 1 conditional rule ship with it.
- Features advanced show logic: if “Is there anyone who must not be given information about this child?” is Yes, the form dynamically exposes “Please give us the details”. Otherwise that question never appears.
- All 1 rule are editable in the Logic tab, and the built-in checker warns about rules that contradict each other.
What this form asks
Page 1 — Child & guardians
- Child's full namerequired
- Date of birthrequired
- Roomrequired
- First person we callrequired
- Relationship to childrequired
- Mobile numberrequired
- Second number for this person
- Second person we callrequired
- Their relationship to childrequired
- Their phone numberrequired
- Can the second person reach the centre within 30 minutes?required
Page 2 — Medical & permissions
- Doctor or clinic name
- Doctor's phone number
- Preferred hospital
- Anything a paramedic should know immediately?
- Is there anyone who must not be given information about this child?required
- Please give us the details
- Emergency treatment consentrequired
- Parent or guardian signaturerequired
- Date completedrequired
Conditional logic in this build
- When “Is there anyone who must not be given information about this child?” is Yes, show “Please give us the details”.
Questions about this shared form
How often should families update this?
Send it out annually and after any move or job change — a wrong number is worse than no number.
Can we collect more than two contacts?
Yes. Duplicate the second contact block for as many people as your policy asks for.
Does this replace pick-up authority?
No. An emergency contact is someone to call; the Pickup Authorization Form names the adults allowed to collect.
Can staff see it offline?
Export submissions to PDF for the room folder and keep the live version in the form for updates.
Is the Emergency Contact Form template free to use?
Yes. You can preview and test Emergency Contact Form on this page without an account, and take a copy into your own HelloForms workspace on the free plan. There is nothing to install and no card required to publish it.
What does the Emergency Contact Form template ask for?
It asks 20 questions across 2 pages, 14 of which are required. Every question is listed in full further down this page, and each one can be renamed, reordered, made optional or deleted after you copy the template.
Can I edit the Emergency Contact Form form after copying it?
Yes — the copy is entirely yours. Change wording, add or remove questions, switch between the classic and card layouts, restyle it to match your brand, and set who gets notified on each submission.
How does the conditional logic in this daycare forms form work?
1 conditional rule ships with the template: Features advanced show logic: if “Is there anyone who must not be given information about this child?” is Yes, the form dynamically exposes “Please give us the details”. Otherwise that question never appears. All 1 rule are editable in the Logic tab, and the built-in checker warns about rules that contradict each other. All rules are editable in the Logic tab.
Where do responses to the Emergency Contact Form form go?
Submissions land in your workspace under Submissions, where you can search, filter, label and export them to CSV or PDF. You can also email a notification to your team on every submission and send the respondent an auto-reply.
Can I embed the Emergency Contact Form form on my own website?
Yes. Publish the form and paste the embed snippet into any page or share the direct link. The embedded form resizes to fit its container and loads no advertising or marketing trackers inside the iframe.
Is the signature on this form legally usable?
The template captures a drawn signature and stores it with the submission, along with the timestamp, so you keep evidence of who agreed and when. Whether that is sufficient depends on your jurisdiction and the agreement itself.
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