Babysitter Instructions

Thanks for taking care of [Name(s) of Child(REN)] Here’s all the information you’ll need!

Where to find us

Where we’ll be:
Address:
Phone:
Cell phone:
Date/time expected home:

Instructions

Meals and snacks:
Diapers:
Activities:
Bedtime schedule:
Allergies:
Medications:
Hiding places:
Favorite toys or games:

Additional information

medical emergency information

Regular doctor (name and address):	Phone:
Emergency clinic (name and address):	Phone:
Neighbor or friend:	Phone:

We give you permission to authorize emergency medical care for our child(ren) as deemed necessary by a physician, and we will be responsible for full payment of such care.

YES	NO	CALL US FIRST

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Home emergency information

Here’s information you’ll need in case you notice a break-in, fire, gas odor, flood, or electrical problem:

Police department:	911
Fire department:
Our name and address:	Phone:
Nearest intersection:
Gas company:
Location of gas shut-off valve:
Water company:
Location of water shut-off valve:
Electric company:
Location of electrical breaker box:

We give you permission to authorize emergency work if necessary to prevent damage, and we will be responsible for full payment of such work.

YES	NO	CALL US FIRST

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