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Resources/Free Resource Library/
Forms and policies

Form template

Emergency Contact and Medical Information Form

A one-page emergency contact and medical form built for a kid at a program site, not an adult at an office; scannable by a stressed instructor in seconds.

Free download
PDF, 6 pages + Word file
10 min

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Cover and a sample page of the Emergency Contact and Medical Form

What's inside

  1. The form (printable)
  2. Why each field
  3. On-site storage and access
  4. From binder to roster

How to use this in 10 minutes

Print the form (page 2), add your program name to the header, and hand it out today. Then read “why each field” so you can answer the parent who asks, and set up the storage routine (page 4) so the form is actually findable the day it matters.

At a glance

Format
PDF, 6 pages + Word file
Time to use
10 min
Topic
Forms and policies
Cost
Free, no account
Get it free
AH

Arielle Hammond, Ed.D.

Former K-5 principal; runs youth enrichment at 75+ school sites. Founder of enrops.

How it was made

The layout follows the scannable format Journey to STEAM instructors asked for.

From the podcast
8 Systems to Set Before You Add Program Sites
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