Pupil Emergency Contact Card

One-page emergency reference, one per child

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How to use this template

An emergency contact form for school, trip and first-aid point

• Keep one card per child, and keep it wherever the child goes: the classroom folder, the trip bag, and the first-aid point. A copy that stays in a drawer does not help on a trip.
• Refresh the card at the start of every school year, and immediately whenever a phone number, a contact, or a medical detail changes — do not wait for the annual refresh.
• Check that Contact 2 actually answers, not just that a number is written down. Call it before you file the card, not during an emergency.
• Fill in only what an adult needs to act in the first sixty seconds. This card is photocopied and carried around, so it holds the least information that is useful — data minimisation, not completeness, is the design goal.
• Do not add national ID numbers, a full home address, or insurance details. That belongs in the office record, which does not travel and can hold more.
• This is a quick-reference card, not a signed consent form — permissions and legal authorisations live in the enrolment paperwork, not here.
• Print it, and replace the whole card rather than crossing out a detail by hand.

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Section 1: Child identification

Full name: [CHILD FULL NAME] Date of birth: [CHILD DATE OF BIRTH] Class / group: [CLASS OR GROUP] Photo: [ATTACH OR PASTE CHILD PHOTO HERE]

Lets an adult who does not know the child confirm who they are looking at. Update the class/group line whenever the child moves up or changes group.

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Section 2: Contact 1

Name: [CONTACT 1 NAME] Relationship to child: [CONTACT 1 RELATIONSHIP] Phone: [CONTACT 1 PHONE]

Usually the primary guardian, and the first number to call.

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Section 3: Contact 2

Name: [CONTACT 2 NAME] Relationship to child: [CONTACT 2 RELATIONSHIP] Phone: [CONTACT 2 PHONE]

Must be someone other than Contact 1 — a second adult reachable if the first is not. A card with two copies of the same person is not a working backup.

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Section 4: Authorised collection

Adults authorised to collect this child: [NAMES OF AUTHORISED ADULTS] Anyone specifically NOT permitted to collect this child: ☐ Yes — see office record ☐ No

The full detail behind a “Yes” — who, and why — stays in the office record. This card travels, and a collection restriction is sensitive information that should not leave the building in someone’s pocket.

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Section 5: Medical essentials

Allergies: [ALLERGIES, OR "NONE KNOWN"] Severity: ☐ Mild ☐ Moderate ☐ Severe ☐ None known Regular medication: [REGULAR MEDICATION, OR "NONE"] Existing conditions: [EXISTING CONDITIONS, OR "NONE"] Wears a medical alert bracelet or tag: ☐ Yes ☐ No Doctor’s name: [DOCTOR NAME] Doctor’s phone: [DOCTOR PHONE] First action to take: [FIRST ACTION TO TAKE, E.G. "EPIPEN IN FRONT BAG POCKET, THEN CALL [EMERGENCY NUMBER]"]

Medical essentials only, not a medical history — enough for an adult to act safely before help arrives. In any emergency, call [EMERGENCY NUMBER] first, then work down this card.

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Section 6: Last reviewed

Date last reviewed: [DATE LAST REVIEWED] Reviewed by: [NAME OF REVIEWER]

Update this line every time any detail on the card changes, and at minimum once a year — an unreviewed card is how a disconnected number ends up as “Contact 1”.

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