Babysitter'S Interview Form And Checklist Page 2

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☐ What are your local emergency phone numbers?
Ambulance: _________________________________________________________________________
Fire department: ______________________________________________________________________
Police: _____________________________________________________________________________
Poison control centre: __________________________________________________________________
☐ Will you be leaving the child's health card? If so, where can I find it?
__________________________________________________________________________________
NOTE: Keep all the emergency contact details near the phone where you are babysitting or save them to your
mobile phone.
Household Rules and Discipline
☐ Where in the house are telephones located?
__________________________________________________________________________________
☐ Should I answer the phone if someone calls while I’m babysitting? If yes, how do you prefer I do so?
__________________________________________________________________________________
☐ What parts of the house are off-limits to me and the child?
__________________________________________________________________________________
☐ May I leave the house with the child? If yes, where are we allowed to go?
__________________________________________________________________________________
☐ What foods may the child not eat? What foods am I not allowed to eat?
__________________________________________________________________________________
__________________________________________________________________________________
☐ Does the child have allergies? If yes, what are the allergies?
__________________________________________________________________________________
__________________________________________________________________________________
☐ If you have a spare key to your home, where do you store it?
__________________________________________________________________________________
☐ Does a neighbour have an extra key to you home? Who else has a spare key or knows where you store it?
__________________________________________________________________________________
__________________________________________________________________________________

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