Babysitter Information Emergency Police, Fire, Ambulance: Poison Control: Nearest Hospital:

General Information Where we will be: Contact Numbers Mom: Dad:

Neighbor Contacts:

Our Address:

Family Contacts:

Meal Breakfast Lunch Dinner Drinks Snacks

Time

Child

Likes

Food Allergy

Sleep Routine Time Instructions

911 1-800-222-1222

Dislikes

What to do in case of ingestion

Approved Entertainment

Non-Approved Entertainment

Medical Information Child Important Medical Information

Health Insurance Information Provider Name: ID Number:

Instructions

Phone: Group Number

Provider Numbers: Pediatrician: Other: Other: © The Bajan Texan

http://www.bajantexan.blogspot.com

Babysitter Information Sheet The Bajan Texan.pdf

Child Food Allergy What to do in case of ingestion. Sleep Routine. Time Instructions. Approved Entertainment. Non-Approved Entertainment. Medical Information.
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