Child Care Instructions

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Child Care Instructions
Home and Family Information
Parent(s)' name(s) and phone numbers:
__________________________________________________________________
__________________________________________________________________
Names of children; dates of births:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Address:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Parent(s)' Work Information:
(List name and address of employer, work phone number, and regular work hours
for each parent.)
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Children’s Personal and Care Information
Allergies and other medical conditions; medications; meals; naps; bedtime
schedule:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
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