Babysitter's Information Sheet

Add your information below:

Our names:__________________________________________________________________________

Our home phone number:_______________________________________________________________

Our address:_________________________________________________________________________

Directions to our address:

If you need to reach us, this is our contact information:

Phone:______________________________

Pager:______________________________

Cell phone:_________________________________

We will be at:________________________________________________________________________

We will return at:______________________________

Neighbor contact information:

Name(s):____________________________________________________________________________

Phone:_____________________________

Address:____________________________________________________________________________

Meals & Snacks:

Breakfast:___________________________________________________________________________

Lunch:______________________________________________________________________________

Supper:_____________________________________________________________________________

Snacks:_____________________________________________________________________________

Allergies:____________________________________________________________________________

Bedtime:_______________________

Below, note any specific bedtime instructions eg. (favorite blanket, toy, stories).

____________________________________________________________________________________

Doctor's name:___________________________

Doctor's phone:___________________________

Add any special notes here:

(Topics may include medication, allergies, special habits/needs, favorite toys, TV and video game rules)

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

Anything else that may be of use:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

 

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