Baby Sitters Help List ( works for dads too )
_____________________________________________________
Snacks for you are (circle answer)in the frig/ cupboard/counter

Kids may not eat__________________________________

Food allergies are_________________________________
Medical Condition(s):____________________________________________

Medications:________________________Dosage:______________________

SPECIAL INSTRUCTIONS-     BEDTIME is _______PM

Kids may not__________________________________________
(example: go to neighbors, ride bikes,make phone calls)    after _____PM

Kids may______________________________________________
(example:have gluestick to work on scrapbook, pop popcorn

                 Child Should: (circle one)
Pick up toys: yes /no                 Do Home work: yes /no            BATH: yes /no
Set out clothes for tommorow:yes/no

Time out for wrong behavior should be for _______minutes:
in the chair/ against wall /in bedroom (circle one)
Emergency phone numbers are :on frig/wall/calender(circle one)

Home Address:_____________________________________________________

Directions to our home:________________________________________________

Home Phone:________________________Work Phone:___________________

Cell Phone:_________________________
Medical Emergency Contact(s):____________________________________________

Police Department:__________________Fire Department:_________________

Poison Control:________________________ 
Doctor name:__________________________Doctor Phone:____________________ 
Hospital:______________________________ Hospital Phone:________________________ 

HEALTH INFO
Company:_____________________ Group #:__________________ ID #:__________

NEIGHBOR / GRANDPARENT INFOCircle one 
Names & phone #s:_______________________________________________

CHILD'S INFOName:__________________________________
 Date of Birth:______________Allergies_______________________________________