Get Summer Daycare Child Emergency Data Card

Completing the Summer Daycare Child Emergency Data Card online ensures that your child’s daycare has all the essential information to provide appropriate care in emergency situations. This guide will walk you through each section of the form to help you easily provide accurate details.

Follow the steps to complete your Summer Daycare Child Emergency Data Card online.

1. Click ‘Get Form’ button to obtain the form, allowing you to access it in the editor for online completion.
2. Enter today’s date in the designated field in the format ____/_____/__________. This helps daycare staff keep track of when the information was submitted.
3. Provide the legal name of your child in the appropriate fields: last name, first name, and middle name.
4. Fill in your child’s date of birth by selecting the day, month, and year.
5. Indicate your child’s sex by checking either the male or female option.
6. List any allergies or medications your child is taking to ensure their safety while in daycare.
7. Input your home address, including city, state, and zip code, to facilitate communication and emergencies.
8. Identify the order of notification in the event of illness or emergency by specifying the primary contact (mother, father, or other), along with contact information for each person listed.
9. Fill out the emergency contact details for additional individuals authorized to care for or pick up your child if necessary.
10. Provide your child’s primary doctor and dentist information, including names and phone numbers.
11. Select a designated emergency room by checking either St. Luke’s or Essentia, confirming your understanding of the payment responsibilities.
12. If applicable, complete the section indicating who lives with your child (both parents, mother, father, or guardian).
13. List individuals authorized to pick up your child, ensuring all emergency contacts from the front are included.
14. If there are individuals prohibited from picking up your child, provide their names and explain the situation, including any required legal documentation.
15. Finally, certify the accuracy of the information provided by signing the card as the parent or guardian, along with the date of signature.

Start completing your Summer Daycare Child Emergency Data Card online today for a seamless experience.