Emergency Contact Update

This form is used to ensure that emergency contact information for children enrolled in our Family Day Care service is accurate and up-to-date.

It allows parents or guardians to provide updated contact details, including primary and secondary emergency contacts, their relationship to the child, and any additional instructions for emergencies.

Keeping this information current is crucial for the safety and wellbeing of children in our care, ensuring swift communication in case of an emergency.

Emergency Contact Update

Child/Children's Full Name/s

First Name

Last Name

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Email

Educator Name

First Name

Last Name

Emergency Contact Details

First Name

Last Name

Relationship to Child

Contact Type

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Additional Notes

Authorisation Permissions

Please specify what this emergency contact is authroised to do (select all that are applicable)

Deliver/Collect your child to/from the service

Authorise the Educator to take the child outside the service premises

Consent to medical treatment for your child

Authorise transportation of your child

Request/permit medication to be given to your child

Be notified of any accident, injury, trauma or illness involving your child (if the primary contact is unavailable)