Child Emergency Contact
A child emergency contact form tells a school, camp, or sitter whom to call, in order, if a parent cannot be reached. It does not authorize surgery and it does not replace a medical-consent form. Put a parent first if that parent should be called first, and then two people who actually answer. Tell those people they are on the list. Update the sheet when a phone changes. A form from September that still lists a sitter who moved is the one that fails in June.
For a parent or guardian. When: at enrollment, and again when a number changes.
Naming a state changes the note on the page. It does not add that state's required clauses, fees, or font rules. Papero does not invent statutes.
12 lines are still blank. You can still print. Write "not applicable" on a line that does not apply.
Leaving this page clears what you typed. Papero does not save it. On a shared computer, press Clear before you walk away.
Preview. This is the page that prints.
Child Emergency Contact
Child
Parent
Backup
Health
Signature
Signature
Date
Why this form exists, and what it will not do
Child Emergency Contact is for a parent or guardian. The moment to use it: at enrollment, and again when a number changes. It sits in the Family and children group on Papero. Permissions, pickup lists, and parenting worksheets. Not court orders.
Fill it in this browser. Papero does not create an account, does not upload the answers, and does not keep a copy after you close the tab. When the preview looks right, print it or download a PDF. The PDF is built on your device. A blank download leaves the lines empty so someone else can fill them by hand.
Work through the page in order. The Child section asks for Child's name, Date of birth, School or program. The Parent section asks for Parent name, Parent phone, Home address, Second parent name and phone. The Backup section asks for First backup name, First backup phone, Second backup name and phone. The Health section asks for Allergies, Doctor and phone.
Child's name. Full name. Date of birth. Date. School or program. Where this form is filed. Parent name. The parent completing this. Parent phone. Mobile. Home address. Where the child lives, with the unit.
Second parent name and phone. Or "none." First backup name. Not a parent if the parents might be together and unreachable. First backup phone. Direct number. Second backup name and phone. Another adult. Allergies. Write "none known" if that is true. Doctor and phone. Pediatrician or clinic.
People send this back, or refuse it, for ordinary reasons. The backup contact does not know the child. Both parents list the same unreachable work line. Allergies are blank when the child has them. Read the finished page once as if you were the person receiving it. If a line would make you call back, fill that line.
Sign on the Signature and Date line. A typed name in the signature spot is weaker than ink on a printed page. Date it the day you sign, not the day you hope the other person signs.
What this page cannot do: This is not a custody order, a divorce paper, or a school district's required form. A permission letter helps when a camp, a school, or an airline accepts a parent letter. If they hand you their slip, use it. A parenting schedule is enforceable when a court enters it or both parents sign the form the court accepts, not when it is only printed. Papero is not a law firm, not a government agency, and not the office that will accept or reject the paper.
State note for your state. Child Emergency Contact does not contain your state's required clauses, font size, language, or filing fee. Counties and cities inside your state sometimes add their own rule on top of the state. Before you rely on this for a lease, a school, a court, a bank, or an agency, compare it with the form that office publishes. If the office has no form, this template is a clear record of what you wrote and what you signed on this date.
After you print, use dark ink. Write "not applicable" on a line that does not apply, so a clerk does not treat a blank as a missing fact. Initial a correction beside the line. Do not cover a dollar amount with correction fluid. Each person who has a signature line signs their own name. One person cannot sign for another unless a statutory power of attorney, on the form that office accepts, already says so. Give the other party a copy the same day. On your copy, note the date and whether you handed it over, mailed it, or uploaded it to their portal. Attach copies of supporting papers, not your only original, unless the office demanded the original. Do not attach a Social Security card, a passport image, or a bank statement unless the recipient told you to, and then only in person or through their secure portal. Email is a common way those images are stolen. If the recipient is a government office, stop and use the form on that office's own site. Papero does not transmit this page, does not notarize it, and does not store it.
Keep a copy. Give the other party a copy. If you later change a fact, fill the form again and date the new copy. Do not scribble a second story into the margin of a page someone already signed. Write the date you handed it over, and how, on your own copy.
Before you rely on it
- The backup contact does not know the child.
- Both parents list the same unreachable work line.
- Allergies are blank when the child has them.
This is not a custody order, a divorce paper, or a school district's required form. A permission letter helps when a camp, a school, or an airline accepts a parent letter. If they hand you their slip, use it. A parenting schedule is enforceable when a court enters it or both parents sign the form the court accepts, not when it is only printed.
How to fill and print it
- Fill the lines. Type into the Child Emergency Contact in this browser. Write "not applicable" on a line that does not apply. What you type stays in this tab and is not uploaded.
- Check the preview. The boxed preview is the page that prints. Read it once as the person who will receive the paper.
- Print or download. Use Print, or download a filled PDF or a blank PDF. The file is built on your device.
More Family and children forms
Questions
What is a Child Emergency Contact used for?
A child emergency contact form tells a school, camp, or sitter whom to call, in order, if a parent cannot be reached.
Who should use this Child Emergency Contact?
It is for a parent or guardian. Use it when at enrollment, and again when a number changes.
Does this Child Emergency Contact need a notary?
No. This Child Emergency Contact has no notary block. Sign the Signature, Date line in ink on the printed page if you are handing it to someone.
Will a Child Emergency Contact from Papero be accepted?
The backup contact does not know the child. This is not a custody order, a divorce paper, or a school district's required form. A permission letter helps when a camp, a school, or an airline accepts a parent letter. If they hand you their slip, use it. A parenting schedule is enforceable when a court enters it or both parents sign the form the court accepts, not when it is only printed.
What gets a Child Emergency Contact sent back?
The backup contact does not know the child. Both parents list the same unreachable work line. Allergies are blank when the child has them.