Things to Know Before You Go:
What Your Babysitter Needs to Know
These are things your caregiver needs to know to keep your child
safe, happy and healthy while you are away. Keep this list posted in
a place you both know, (on the fridge, counter, table, etc.).
Please click here for a printable version of this (PDF)
Click here to download Adobe Acrobat!
General Information
Parents Names:
Parents Home Address:
Home Telephone Number:
Mother's Work Number:
Mother's Cell Number:
Father's Work Number:
Father's Cell Number:
Name, Place and Phone Number Of Where We Will Be:
Estimated Time We Will Return:
Location of First Aid Supplies:
Location of Children's Medications and Dosage:
When Parents Need to Be Contacted
Child has been crying for more than 20 or 30 minutes with no known
cause
Child develops fever, vomits, or is seriously injured (more than a
small scrape)
Any situation you feel you cannot handle without help.
Emergency Contact if Parents Cannot Be Reached
(2 or 3 names, relationship, addresses and telephone numbers)
Emergency Numbers
Poison Control:
Police Dept:
Fire Dept:
Hospital or Urgent Care:
Pediatrician's Name and Number:
What To Do In Case of Fire
- In the case of a small, contained fire (on stove, for example),
use our fire extinguisher located (where)
- In the event of a larger fire, gather all children and usher them
our of the house via the nearest exit. (door or window)
- Test doors before you open them. Kneel down, reach up as high as
you can, and touch the door with the back of your hand - at the knob
and around the frame. If there's a fire on the other side, it will
feel warm on the knob and around the cracks.
- If the door is warm, use another escape route.
- Exits are located:
- Take the kids and go straight to a neighbor's house - preferably
on who is on the "in case of emergency" list and call 911 from
there.
- Call us, or one of the above alternate contacts if we are not
available.
About Our Children
(Child's full name, age, weight, height, nap/and or bed times/ plus
special instructions food allergies, medical condition(s), names of
medication(s) and dosages, special instructions)
Family Rules and Routines
Television programs and movies that are acceptable or unacceptable:
Foods that are acceptable or unacceptable:
Guidelines for outside play:
Guidelines for company:
Bedtime Routine:
Special Considerations:
Our Discipline Policy:
General Safety Guidelines
- Avoid giving: raisins, hot dogs, raw carrots, celery, grapes,
nuts, hard candy, gum, popcorn, raw pears and apples to our children
under 4 years. For ages 4-6 years, be sure to cut apples, pears and
carrots.
- Never eat or drink anything hot while holding babies or small
children.
- Never leave a child unattended with food. Make sure any food
given to children under 4 years is cut into pieces about the size of
fingertip.
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