Free Babysitter Information Sheet Template
Babysitter Information Sheet
Parent/Guardian Contact Information
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Parent/Guardian Name(s): [Your Name] & John Thompson
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Phone Number(s): (555) 123-4567 (Sarah), (555) 234-5678 (John)
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Email Address: [Your Email], john.thompson@email.com
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Emergency Contact (if you cannot be reached):
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Name: Emily Robinson
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Phone Number: (555) 345-6789
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Relationship to Child: Aunt
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Child Information
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Child's Name(s): Liam Thompson, Ava Thompson
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Age(s): Liam (6), Ava (4)
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Allergies: Liam – Peanuts; Ava – Strawberries
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Medications: Liam – Asthma inhaler (use as needed); Ava – None
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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
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Meal Times:
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Breakfast: 8:00 AM (Pancakes or oatmeal)
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Lunch: 12:00 PM (Sandwiches, fruit, and yogurt)
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Dinner: 6:00 PM (Spaghetti or chicken with veggies)
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Bedtime:
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Liam: 8:00 PM (Story before bed, lights out at 8:30 PM)
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Ava: 7:30 PM (Story before bed, lights out at 8:00 PM)
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Nap Time: Ava naps from 1:00 PM to 3:00 PM.
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Screen Time Limits: No more than 30 minutes of TV or tablet time per day.
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Activity Suggestions: Liam enjoys building Lego sets, and Ava loves playing with dolls or drawing pictures.
Household Information
Wi-Fi Network and Password:
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Network: ThompsonFamily2050
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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:
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No running inside the house.
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Always ask permission before eating snacks.
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No sweets after 7:00 PM.
Pets in the House:
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Name: Bella
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Type: Golden Retriever
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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
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Pediatrician's Name: Dr. Lucy Green
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Pediatrician's Contact: (555) 456-7890
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Health Insurance Information: Thompson Family Plan, Policy # 0123456789
Important Numbers
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Poison Control Center: (800) 222-1222
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Fire Department: (555) 111-2222
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Police Department: (555) 333-4444
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Nearest Hospital: City General Hospital, (555) 555-5555
Additional Notes
Anything Else:
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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.
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Ava likes to have her "blankie" nearby during nap time. It’s on the couch in the living room.
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Please make sure both children brush their teeth after dinner.
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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.