Babysitter Information Sheet Template

BABYSITTER INFORMATION SHEET

Date: | Family: | Out Contact:

POLICE/FIRE: 911 (US/Canada)
NEIGHBOR/LOCAL:

Pediatrician:
Allergies/Medication:

Child's Name:
Bedtime:
Snack Notes:

Security/Alarm Code:
Wifi Password:
Other Rules:

Parent Name & Cell:
Location/Venue:
Estimated Return Time:

Pediatrician Name & Phone

Local Contact / Neighbor Phone

Allergies & Current Medication/Dosage

Child's Name & Age

Bedtime Routine (Time and Steps)

Approved Snacks / Meal Notes

Key House Rules / Notes

Family / Last Name

Parent Name and Cell Phone

Parent Venue / Location While Out

Estimated Return Time

Security Alarm Code / Special Door Lock Notes (Be discreet)

WIFI Password