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):
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:
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:
Pets in the House:
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.
Sheet Templates @ Template.net