The Parent Contact Information Form Template helps educational institutes looking for an efficient way to gather emergency information regarding their students.
How Does the Parent Contact Information Form Template Work?
The Parent Contact Information Form Template requires the WPForms Pro License and the Signature Addon to collect all important information about a student in an emergency and receive parental consent. Fields include:
- Student Information:
- Full Name: Captures the student’s name for identification in emergencies.
- Date of Birth: For verifying the student’s age for medical considerations.
- Gender: Provides necessary demographic information for safety records.
- Grade Level: Helps in categorizing students by educational stage.
- Student ID Number: For quick reference in the school’s system.
- Home Address: Critical for reaching the student’s residence if needed.
- Parent #1 Information:
- Name: The first point of contact in case of an emergency.
- Relationship to Student: Clarifies the connection to the student
- Home Phone, Work Phone, Cell Phone: Multiple contact numbers.
- Email Address: For communication in non-urgent scenarios.
- Parent #2 Information:
- Name: An additional contact person for emergencies.
- Home Phone, Work Phone, Cell Phone: Alternative communication methods.
- Email Address: For communication in non-urgent scenarios.
- Emergency Contact:
- Name: Extra contacts for broader safety coverage.
- Relationship to Student: To know who the
- Phone Number: Additional backup for emergency situations.
- Email Address: For communication in non-urgent scenarios.
- Medical Information:
- Known Allergies: For immediate medical care in case of an allergic reaction.
- Medications: Information on any medications the student is taking.
- Primary Care Physician: A crucial contact for medical emergencies.
- Physician Phone Number: Direct line to the student’s healthcare provider.
- Consent and Acknowledgement:
- Authorized for Pickup: The person who can pick up a student (who’s not a parent).
- Permission for Emergency Medical: Authorization to seek medical care if necessary.
- Signature and Date: Confirmation from the parent for the accuracy of the information.
Sign up with WPForms today and access the Parent Contact Information Form Template. Keep your kids safe and make your emergency plans easier to follow.
