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.
© 2009 RelayHealth and/or its affiliates. All Rights Reserved.
