Emergency Contact Form
Keep two reachable adults, the child's doctor and consent to seek treatment on one printable page.
A ready-to-use daycare forms form for small teams who need a reliable intake process: 20 questions, 2 pages, 1 conditional rules.
- Questions
- 20
- Pages
- 2
- Layouts
- classic · card
- Conditional rules
- 1
- Typical time
- 5 min
Searches this template answers
- emergency contact form
- emergency information form
- guardian contacts form
- who to call form
- child emergency details
Also filed under
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.
What happens after submit: nothing is stored in this preview. On your own copy, every response triggers an instant email notification and lands in your response dashboard, ready to export or forward.
Happy with it? Take a copy into your workspace — every question, rule and setting comes with it.
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.
About this template
When something happens you do not want to be scrolling an inbox for a phone number. This form collects two contacts who can actually get to the centre, the order to try them in, the child's doctor and preferred hospital, and written permission to seek emergency treatment if no guardian can be reached in time.
What this form asks
Every question is editable — rename it, make it optional, or delete it entirely.
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
20 questions in total.
How the form changes as it's filled in
This template ships with 1 conditional rule, grouped into 1 behaviour driven by 1 question. Everything below is already set up — edit or delete any rule once the template is in your workspace.
Driven by “Is there anyone who must not be given information about this child?”
- Reveals questions
If “Is there anyone who must not be given information about this child?” is Yes, the form reveals “Please give us the details”.
What it pairs with
Most teams don't run this form on its own. These are the forms and systems it sits next to.
Works in both layouts
Forms that overlap this one
These pages cover the same subject ground as the emergency contact form, matched on the words people actually search for.
Staff Emergency Contacts
contactemergencieemergencyinformation
Child Medical Information Form
carecenterchildchildcareday
Pickup Authorization Form
adultcarecenterchildchildcare
Child Care Inquiry Form
carecenterchildchildcarecontact
Child Care Center Enrollment Form
carecenterchildchildcareday
Daycare Application Form
carecenterchildchildcareday
Privacy & compliance
This form asks about a child. Collect a guardian's consent, keep contact and medical answers to the minimum you actually need, and restrict who on your team can open the responses.
Frequently asked questions
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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