Babysitter Information Form

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Here is a form of important information to leave with the babysitter each time you will be away from home. All you need to do is just print copies of the form, and fill it out for your babysitter.

My Name:______________________ Cell phone / pager _________________

Child's Name:__________________________________________________

While out, I will be at:_____________________________at_______________
                                             (location / phone number)                         (time)

then at:_______________________________________at_______________
                                            (location / phone number)                          (time)

Food / other allergies my child has:________________________________

Snack:______________________________ Time:_____________________
                         (what kind of snack?)

Bedtime:_____________________________________________________

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

_____________________________________________________________

Emergency Contacts:

Baby's Doctor:_____________________Phone Number_________________

Neighbor's name, address, phone number:____________________________

_____________________________________________________________

Other person to contact in case of emergency:__________________________

Notes:________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________

Current as of June 2007