Information for Babysitters

Baby-sitting for _________________________________________

Home Address:____________________Nearest cross street: __________________

Home Phone Number: _________________ Parents' Cellphone Number:_______________
Expected return time: ______________________________________

Emergency Number (Police/Fire) _____________________________

Doctor's Name_______________________________________________
Doctor's Phone Number ______________________________________

Poison Control Center Hotline 800-222-1222

Neighbor's Name_____________________________________________
Neighbor's Phone ___________________________________________

Child's Name: ________________________ Age:_________________
Allergies or Special Instructions: _____________________________

Child's Name: ________________________ Age:_________________
Allergies or Special Instructions: _____________________________

Child's Name: ________________________ Age:_________________
Allergies or Special Instructions: ______________________________

Areas off limits____________________________________________

Message to give if someone calls: ____________________________

____________________________________________________________

What to do about visitors: ____________________________________

____________________________________________________________

Guidelines for TV/computer use: ________________________________

____________________________________________________________

Location of fire extinguisher: _____________________________________

Location of flashlights and first aid supplies__________________________

Evacuation route if the smoke detector goes off: _____________________

____________________________________________________________

Other (feeding, bathing, and sleeping arrangements): ____________________________________________________________

____________________________________________________________

Written by E. Christophersen, PhD, author of "Baby Owner's Manual: What to Expect and How to Survive the First Year.".
Published by RelayHealth.
Last modified: 2008-12-15
Last reviewed: 2008-11-24
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
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