BABYSITTER

BABYSITTER’S CHECKLIST

Parents Name____________________________________________________

Address/City______________________________________________________

Telephone Number_________________________________________________

Children (First name or nickname):

Name________________________________ Age_________________

Where Parents Can Be Reached?

________________________________________________________________

Time expected to return: ____________________________________________

Emergency Telephone Numbers:

Police___________________________________________________________

Fire _____________________________________________________________

Doctor ( name & #)_________________________________________________

Hospital__________________________________________________________

Poison Control____________________________________________________

Neighbor_________________________________________________________

Relative__________________________________________________________

Discuss the following details with the parents.

q Meals/Snacktime q Bedtime/Naptime

q Medicine/Allergies q Rules for TV/Toys

q Burglar Alarm q First Aid Supplies

q Home Fire Escape Plan q Possible Safety Hazards

q Appliances & Their Operation q Pets

q Smoke Detectors/Fire Extinguishers

q Meals/Snacktime	q Bedtime/Naptime
q Medicine/Allergies	q Rules for TV/Toys
q Burglar Alarm	q First Aid Supplies
q Home Fire Escape Plan	q Possible Safety Hazards
q Appliances & Their Operation	q Pets
q Smoke Detectors/Fire Extinguishers