Emergency Contact Form Template
A free emergency contact form for employees, students and members. Collect two contacts with phone numbers and keep them on file in one place.
Use templateAbout this template
Collect each person's emergency contacts with their relationship and phone numbers, plus any medical notes first responders should know. Staff can update their details any time.
Common uses
- New hire onboarding
- Schools, camps, and clubs
- Gyms and membership programs
Key features
- Two contacts per person
- Relationship and phone checks
- Optional medical notes
What this template asks
What's your full name?
Short Text
What's your email address?
Email
Who is your main emergency contact?
Short Text
How are they related to you?
Single Choice · Partner or spouse, Parent, Sibling, Friend, Other
What's their phone number?
Phone
Who is your second emergency contact?
Short Text · Optional
What's your second contact's phone number?
Phone · Optional
Is there any medical information first responders should know?
Long Text · Optional
How to use this template
Copy it
Select Use template and a copy opens in your workspace as an unpublished draft.
Make it yours
Edit any question or answer, choose a theme, and add your logo.
Share it
Publish, then send the link, show a QR code, or embed the form on your site. Responses arrive in Submissions.
Frequently asked questions
What does the Emergency Contact Form collect?
The person's name and email, a main contact with their relationship and phone number, an optional second contact, and any medical notes first responders should know.
How do I keep emergency contacts up to date?
Send the link once a year or whenever details change. Each response is saved with the date, so the newest one is easy to find.
Who can use this form?
Employers, schools, camps, gyms, and clubs that need someone to call in an emergency.