Babysitter Checklist Template
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1BABYSITTER CHECKLIST
OUR HOUSE
WE LIVE AT: _____________________________________________________________________________
NEAREST CROSS STREET: ___________________________________________________________________
NEIGHBOR’S NAME______________________________________ CELL: _____________________________
WI-FI INFORMATION_______________________________________________________________________
OUR CONTACT INFORMATION
NAME: _______________________________________________ CELL: _____________________________
NAME: _______________________________________________ CELL: _____________________________
EMERGENCY CONTACT INFORMATION
POISON CONTROL:
___(800)
222-1222____ ALARM COMPANY:______________________________________
POLICE/FIRE EMERGENCY: _911_
NON-EMERGENCY______________________________________
OTHER IMPORTANT PHONE NUMBERS__________________________________________________________
PEDIATRICIAN:_______________________________________ NUMBER:______________________________
VET:______________________________________________ NUMBER:______________________________
ABOUT OUR CHILDREN
NAME:______________________________________ AGE:_______________________________________
ALLERGIES/SPECIAL INSTRUCTIONS___________________________________________________________
BED/NAP TIME___________________________________________________________________________
NAME:______________________________________ AGE:_______________________________________
ALLERGIES/SPECIAL INSTRUCTIONS___________________________________________________________
BED/NAP TIME___________________________________________________________________________
NAME:______________________________________ AGE:_______________________________________
ALLERGIES/SPECIAL INSTRUCTIONS___________________________________________________________
BED/NAP TIME___________________________________________________________________________
SPECIAL REQUESTS
FOOD:_________________________________________ TV: _____________________________________
OUTDOOR/INDOOR PLAY____________________________________________________________________
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Parent category: Life