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Babysitter Checklist

Save this checklist to your computer and fill in your standard, unchanging information in the fields provided. The only place to leave blank is where you will be for that day/night and the phone number. Print a new one for each babysitting situation or print a handful to have available. 

Click here for a single page printable or savable checklist: Babysitter's Checklist 

The above linked list should print all on one page. If not, you can make adjustments in your word processor to make it fit. Try reducing the font size of the category titles. If a line breaks on your page, drag the right side of the document toward the right margin until it adjusts. 


General Information:


Our names: 
Our address: 
Nearest cross street: 
Our home phone #: 

We'll be at: ________________________________   Phone #: _________________________   


How to contact us:

*Mom

Work #:                            
Cell #: 

*Dad

Work #:                            
Cell #:


In an emergency and if we cannot be reached, contact:

Name: 
Relationship: 
Telephone #: 
Name: 
Relationship: 
Telephone #: 


Emergency numbers:

  • Poison control: 
  • Police dept.: 
  • Fire dept.: 
  • Pediatrician: 


Health insurance:

Insurance company:
Group/policy #:
Policy holder's name:
Policy holder's ID #:


Children's Information:


1) Child's name:
                                          * Child's Age:            * Nap or bedtime: 
* (Input here: bedtime routine, food allergies, medical conditions, etc.)

 

2) Child's name:                                          * Child's Age:            * Nap or bedtime: 
* (Input here: bedtime routine, food allergies, medical conditions, etc.)

 


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All material on these pages ©2001-2008 - Rexanne Mancini unless specified otherwise
Please contact Rexanne for reproduction or reprint permission.

This site provides general information and the web master's opinions. It is designed for informational purposes only. Always consult with a healthcare or other professional if you have any concerns about the health or welfare of your child.

 

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