Babysitter Checklist

Babysitter Information Sheet

Parent’s Names :
Full Address :

Nearby Landmarks when giving directions:

Home Phone Number:
Dad’s Cell Phone:
Mom’s Cell Phone:

Children (names and ages):

Important Medical Info:

Child Allergies / Medical Conditions to be aware of

Emergency Contacts (name, relationship, and phone number):
1.
2.
3.

Our nearest neighbors if you need help are (name, number, location)
1.
2.
3.

Local Police Phone Number:
Poison Control:
Emergency – 911

Today we are going to:

We will return by:

Special notes:

***Reminder for PARENTS: before you go, get the full name, cell phone number, home phone number, make of car and license plate number of your sitter, and take them with you, for safety’s sake.

Courtesy of Moms Who Think - http://www.momswhothink.com/