Babysitter Information Form printable pdf download

Babysitter Information Form

Your babysitter can refer to this form for contact information and other details. Keep a filled-in copy of this form and

print it out whenever you need it.

Parent’s Name (Primary contact): ________________________ Cell phone / pager ____________________________

Office phone # & address _____________________________________________________________________________

Parent’s Name (Mother / Father): ________________________ Cell phone / pager ____________________________

Office phone # & address _____________________________________________________________________________

Children’s Names ___________________________________________________________________________________

__________________________________________________________________________________________________

I will be at: __________________________________________between _______________

(location / phone number)

(time)

then at:_______________________________________________at___________________

(location / phone number)

(time)

Food/other allergies:

Name: __________________________ Allergic to: ___________________________________________

Snack: ________________________________________ Time: _____________________________________________

(what kind of snack?)

Bedtime: ___________________________________________________________

Activities (books, toys, songs, etc.) my child likes are: __________________________________________________

_________________________________________________________________________________________________

Emergency Contacts:

Doctor: ____________________________________Phone Number__________________________________________

Neighbor's name, address, phone number: ______________________________________________________________

_________________________________________________________________________________________________

Any other person to be contacted in case of emergency: ________________________________________________

Notes: ___________________________________________________________________________________________

_________________________________________________________________________________

Babysitter Information Form