Family Emergency Plan
Printable WorksheetFamily Emergency Plan
Emergency Preparedness Merit Badge — Requirement 2a
Fill this out with your family during your emergency planning meeting. Post a copy where everyone can see it.
Family Contact Information
| Name | Phone Number | Role / Notes |
|---|---|---|
Meeting Places
Neighborhood meeting place
Out-of-neighborhood meeting place
Out-of-Area Emergency Contact
A relative or friend in another city who can relay messages if local phone lines are jammed.
Name
Phone
City / State
Emergency Numbers
Local fire department
Local police (non-emergency)
Nearest hospital
Poison Control
Family doctor
Evacuation Routes
Primary route
Alternate route
Special Needs & Medications
List any family members with medical conditions, medications, mobility needs, or other special requirements.
Pet Plan
Pets (type and name)
Who is responsible for pets during evacuation?
Pet supplies location
Communication Plan
Who calls whom? Write the chain of communication so every family member knows their role.
Counselor Review
Merit Badge Counselor Signature
Date