Babysitter Checklist

Parents Name:_______________________________________________

We will be at: _________________________________________________

In case you can't reach us call:

Name: _______________________________ Phone:________________

Name: _______________________________ Phone: ________________

Our Home Address:
________________________________________________

Our Home Phone :________________________________________________

Family Doctor: _______________________________ Phone:_____________

The children you will be caring for are:
Name: _______________________________ Age:_____________

Name: _______________________________ Age:_____________

Name: _______________________________ Age:_____________

Instructions:
__________________________________________________________________

Babysitter Checklist

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