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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.

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Take a peek inside the Daycare Emergency Contact Information Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

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

Child's Name:
Date of Birth:
Address:
Sibling Name:
Date Of Birth:
Living in Child's Home:
Sibling Name:
Date of Birth:
Living in Child's Home:
Sibling Name:
Date Of Birth:
Living in Child's Home:
Father's (Guardian's) Name:
Address (If Different):
Telephone:
Mother's (Guardian's) Name:
Address (If Different):
Telephone:
Please list two people who can be contacted in an emergency if the parent(s) or guardian(s) canno...
Relationship to child:
Address:
Telephone:
Is this person authorized to make medical decisions for your child if you cannot be reached?
Alternate Contact:
Child's Doctor (or name of clinic):
Preferred Practitioner:
Address:
Telephone:
...and More!