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Available on

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Daycare Emergency Contact Information Mobile App

When registering a child for care at a daycare business, it is important to collect all pertinent information for emergency preparedness purposes.

Created with that in mind, this mobile app records information about the child's emergency contacts, as well as alternate emergency contacts. The field has all fields usually found on a contact form, including the emergency contact's name, home and cell phone number and more. This app may be useful for child care centers, in-home child care, daycare providers, etc.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Daycare Emergency Contact Information Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Child's Name:

  • Ico date

    Date of Birth:

  • Ico multiline

    Address:

  • Ico textbox

    Sibling Name:

  • Ico date

    Date Of Birth:

  • Ico dropdown

    Living in Child's Home:

  • Ico textbox

    Sibling Name:

  • Ico date

    Date of Birth:

  • Ico dropdown

    Living in Child's Home:

  • Ico textbox

    Sibling Name:

  • Ico date

    Date Of Birth:

  • Ico dropdown

    Living in Child's Home:

  • Ico textbox

    Father's (Guardian's) Name:

  • Ico multiline

    Address (If Different):

  • Ico textbox

    Telephone:

  • Ico textbox

    Mother's (Guardian's) Name:

  • Ico multiline

    Address (If Different):

  • Ico textbox

    Telephone:

  • Ico statictext

    Please list two people who can be contacted in an emergency if the parent(s) or guardian(s) canno...

  • Ico textbox

    Relationship to child:

  • Ico multiline

    Address:

  • Ico textbox

    Telephone:

  • Ico dropdown

    Is this person authorized to make medical decisions for your child if you cannot be reached?

  • Ico textbox

    Alternate Contact:

  • Ico textbox

    Child's Doctor (or name of clinic):

  • Ico textbox

    Preferred Practitioner:

  • Ico multiline

    Address:

  • Ico textbox

    Telephone:

  • ...and More!

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