Baby Sitter's Checklist

Parents address __________________________________ telephone (home) ___________________________ telephone (business) ________________________ Name of children ____________________________ age _________ ____________________________ age _________ ____________________________ age _________ ____________________________ age _________ Can be reached at ___________________________ _________________________________________ Will return at ______________________________ Pediatrician address ___________________________________ telephone _________________________________ Hospital address ___________________________________ Neighbor address ___________________________________ telephone _________________________________ Police ____________________________________ Fire Department ____________________________ Bed times _________________________________ Meal (or snack) time ________________________ TV rules for children ________________________ _________________________________________ Telephone messages caller's name _______________________________ message __________________________________ _________________________________________ _________________________________________

BABY SITTERS CHECK LIST SPECIAL INSTRUCTIONS ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ caller's name _______________________________ message __________________________________ _________________________________________ _________________________________________