Free printable family tool
Child and Caregiver Information Sheet
A concise reference for authorized caregivers, contacts, routines and emergency information.
Revision: August 2026Privacy note
This tool may contain sensitive information after you complete it. Store completed copies securely and destroy outdated copies.
Child and Caregiver Information Sheet
Complete this sheet offline and give a current copy only to adults who are authorized to care for the child.
Child
Name
Date of birth
Preferred name
Important comfort or communication notes
Parents, guardians and caregivers
Primary contacts
Authorized backup contact
Pickup permissions
Health and safety
Allergies
Medication source instructions
Healthcare contact
Emergency plan location
School and routines
School or childcare
Arrival and pickup details
Recognizable routines
Items that travel
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