Family Preparedness Plan for ___________________________________________
(Name)
1. List at least 15 essential items that should be included in a survival kit in the event of any natural
disaster.
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2. List at least two emergency contacts (other family or friends approved by your immediate family) that
you could call in to help you during a natural disaster.
Name: ______________________ Phone Number: _________________________
Name: ______________________ Phone Number: _________________________
3. In the event of an evacuation, list a “safe place” for your family to stay out of harm’s way in the event of
a natural disaster. This can be another family member’s house, a trusted family friend, or even a safe
hotel.
______________________________________________________________________________
4. In the event your family would need to evacuate your home in an emergency designate a safe location
outside your home where all of your family members can meet. For example the street lamp in front of
your neighbor’s house.
______________________________________________________________________________
5. If you have a pet, list your plan for caring for it in the event of a natural disaster.
______________________________________________________________________________
______________________________________________________________________________
6. Identify the safest room or area in your home in the event of a hurricane or tornado. This room should
have no windows and solid walls if possible.
______________________________________________________________________________
7. List emergency agency phone numbers in your area.
 Emergency Phone Number: 911
 Local Emergency Management Office Phone Number: __________________
 Local Police Station Phone Number: _______________________
 Local Fire Department Phone Number: _______________________
Extra Credit: Have each member of your family living in your house sign below to verify they’ve read your
plan and made an emergency wallet card.
__________________ __________________ __________________ __________________
Family Preparedness Plan for ___________________________________________
(Name)
Emergency Wallet Cards: Make a card for yourself and each person in your family. Fill them out, cut
along the outside line and fold in half. Encourage your family to keep these in their wallet, purse, backpack
or car. Ask you teacher for more card copies if needed.
Name: __________________________________
Address: _________________________________
_________________________________________
Home #: ______________ Cell #: ______________
Family Member Work #: _____________________
Family Member Work #: _____________________
School: __________________________________
# of children in family: ____ # of pets: ____
Special Needs: _____________________________
_________________________________________
Identifying Characteristics: __________________
_________________________________________
_________________________________________
Emergency Meeting Place in my Neighborhood:
_________________________________________
Emergency Contact #: _______________________
Emergency Contact #: _______________________
Special Instructions: ________________________
_________________________________________
_________________________________________
Name: __________________________________
Address: _________________________________
_________________________________________
Home #: ______________ Cell #: ______________
Family Member Work #: _____________________
Family Member Work #: _____________________
School: __________________________________
# of children in family: ____ # of pets: ____
Special Needs: _____________________________
_________________________________________
Identifying Characteristics: __________________
_________________________________________
_________________________________________
Emergency Meeting Place in my Neighborhood:
_________________________________________
Emergency Contact #: _______________________
Emergency Contact #: _______________________
Special Instructions: ________________________
_________________________________________
_________________________________________
Name: __________________________________
Address: _________________________________
_________________________________________
Home #: ______________ Cell #: ______________
Family Member Work #: _____________________
Family Member Work #: _____________________
School: __________________________________
# of children in family: ____ # of pets: ____
Special Needs: _____________________________
_________________________________________
Identifying Characteristics: __________________
_________________________________________
_________________________________________
Emergency Meeting Place in my Neighborhood:
_________________________________________
Emergency Contact #: _______________________
Emergency Contact #: _______________________
Special Instructions: ________________________
_________________________________________
_________________________________________
Name: __________________________________
Address: _________________________________
_________________________________________
Home #: ______________ Cell #: ______________
Family Member Work #: _____________________
Family Member Work #: _____________________
School: __________________________________
# of children in family: ____ # of pets: ____
Special Needs: _____________________________
_________________________________________
Identifying Characteristics: __________________
_________________________________________
_________________________________________
Emergency Meeting Place in my Neighborhood:
_________________________________________
Emergency Contact #: _______________________
Emergency Contact #: _______________________
Special Instructions: ________________________
_________________________________________
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