Free Babysitter Information Sheet Template

Babysitter Information Sheet


Parent/Guardian Contact Information

  • Parent/Guardian Name(s): [Your Name] & John Thompson

  • Phone Number(s): (555) 123-4567 (Sarah), (555) 234-5678 (John)

  • Email Address: [Your Email], john.thompson@email.com

  • Emergency Contact (if you cannot be reached):

    • Name: Emily Robinson

    • Phone Number: (555) 345-6789

    • Relationship to Child: Aunt


Child Information

  • Child's Name(s): Liam Thompson, Ava Thompson

  • Age(s): Liam (6), Ava (4)

  • Allergies: Liam – Peanuts; Ava – Strawberries

  • Medications: Liam – Asthma inhaler (use as needed); Ava – None

  • Special Instructions: Liam gets a bit nervous around thunderstorms, so feel free to let him watch his favorite movie if it starts storming. Ava loves reading books before bed.


Daily Routine

  • Meal Times:

    • Breakfast: 8:00 AM (Pancakes or oatmeal)

    • Lunch: 12:00 PM (Sandwiches, fruit, and yogurt)

    • Dinner: 6:00 PM (Spaghetti or chicken with veggies)

  • Bedtime:

    • Liam: 8:00 PM (Story before bed, lights out at 8:30 PM)

    • Ava: 7:30 PM (Story before bed, lights out at 8:00 PM)

  • Nap Time: Ava naps from 1:00 PM to 3:00 PM.

  • Screen Time Limits: No more than 30 minutes of TV or tablet time per day.

  • Activity Suggestions: Liam enjoys building Lego sets, and Ava loves playing with dolls or drawing pictures.


Household Information

Wi-Fi Network and Password:

  • Network: ThompsonFamily2050

  • Password: thompson123

Emergency Procedures: Exit through the back door in case of emergency. The fire extinguisher is located under the kitchen sink. Smoke detectors are in every room.

Rules to Follow:

  • No running inside the house.

  • Always ask permission before eating snacks.

  • No sweets after 7:00 PM.

Pets in the House:

  • Name: Bella

  • Type: Golden Retriever

  • Care Instructions: Bella is friendly but can be a little jumpy around new people. She likes to play fetch in the backyard. Please let her out in the backyard every couple of hours.


Medical Information

  • Pediatrician's Name: Dr. Lucy Green

  • Pediatrician's Contact: (555) 456-7890

  • Health Insurance Information: Thompson Family Plan, Policy # 0123456789


Important Numbers

  • Poison Control Center: (800) 222-1222

  • Fire Department: (555) 111-2222

  • Police Department: (555) 333-4444

  • Nearest Hospital: City General Hospital, (555) 555-5555


Additional Notes

Anything Else:

  • Liam sometimes gets shy with new people, but he warms up after a few minutes. You can encourage him by asking about his favorite superheroes.

  • Ava likes to have her "blankie" nearby during nap time. It’s on the couch in the living room.

  • Please make sure both children brush their teeth after dinner.

  • If there's an emergency, don't hesitate to call us immediately. We may not be able to answer during work hours, but we will return your call as soon as possible.


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