Emergency Information Cards

Following is a sample of an emergency info card:

Child Emergency Card

Name:_____________________________________

Mother’s name:______________________________

Mother’s phone#_____________________________

Father’s name:_______________________________

Father’s phone# _____________________________

Emergency contact name:______________________

Emergency contact phone______________________

Doctor:______________Phone__________________

Clergy:______________Phone__________________

Medications/allergies:_________________________

__________________________________________

Meeting place:_______________________________

 Adult  Emergency Card

Name:______________________________________

Phone:______________________________________

Address:_____________________________________

Spouse or responsible adult:_____________________

Phone #____________Relationship_______________

Out of Area name:_____________________________

Out of Area phone:_____________________________

Doctor:______________Phone___________________

Clergy:______________Phone___________________

Medications/allergies:___________________________

____________________________________________

Meeting place:________________________________