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Safety/Recalls Cubby

What Every Babysitter Needs to Know
By Kim Green-Spangler
You've seen the shows and commercials where mom is being dragged from the house after having gone over the endless list of do's, don'ts, contacts, and rules where the kids can recite them by heart, the sitter's eyes are glazed over and yet, mom is ready to cancel her evening/appointment?

As a parent I subscribe to the "I'd rather be safe than sorry" school and would rather have a list that has too much information than not enough. Yes, I've been yanked out of the door on more than one occasion, and as my child gets a little bigger and stronger, I'm sure to be shoved out . . . but I'll be shoved out knowing I've done all I can to make sure things go as smoothly as possible in case of any emergency. I hope!

Use the following list as a guideline for creating your own Babysitter List. Put it on the computer, fill out the parts that won't change before printing, laminate the pages and with a hole-punch and a ring attach securely attach all pages. Write in whatever information is needed with a Sharpie (Note: Sharpie ink can be removed when written over with a dry-erase marker.)

Home Information:

Address:

Nearest Major Intersection:

Phone Number:

Parents Contact Info:

  • Name(s):

  • Itinerary:

  • Address:

  • Phone:

  • Cell:

  • Time of Anticipated Return:

Alternate Contact(s) (if parents cannot be reached):

  • Name(s):

  • Relationship:

  • Address:

  • Phone:

  • Cell:

Neighbor Information:

  • Name(s):

  • Location:

  • Address:

  • Phone:

In Case of Suspected Poisoning:
Contact Poison Control Center Immediately! Phone Number: 1-800-222-1222

In Case of Fire:
Note: Leave locations of all doors/windows with instructions for unlocking.

If a small fire:
Location of Fire Extinguisher(s):

If a large fire:
Get all children out of the house and call 911 or local fire department from neighbors or cell phone.

Medical Emergency Information:

Location of First Aid Kit:

Location of Medication(s):

Health Insurance Information (Leave Signed Emergency Treatment Release with Sitter):

  • Provider Name:

  • Insured Name:

  • Group Number:

  • ID Number:

Emergency Treatment Release Form for:

Name: _____________________________________ DOB: ______________________

Any licensed physician, hospital or dentist is authorized to provide necessary emergency medical services to the child(ren) listed above, at the request of the person bearing this consent form.

 
___________________________________________    _________________________
Signature of Parent/Legal Guardian                              Date of Release

Pediatrician:

  • Name(s):

  • Address:

  • Phone:

Local Hospital:

  • Name(s):

  • Address:

  • Phone:

Household Emergency Personnel Contact Information:

  • Police Department: 911 (or local number)

  • Fire Department: 911 (or local number)

  • Gas Company:

  • Electric Company:

  • Water Department:

  • Taxi Service:

Child(ren) Specifics:

  • Name:

  • DOB:

  • Height:

  • Weight:

  • Eye Color:

  • Blood Type (if known):

  • Distinguishing Marks:

  • Allergies (seasonal/food):

  • Medical Conditions:

  • Medications/Dosage:

  • Food Restrictions (if any):

  • Bedtime:

  • Favorite Things:
General Safety Information:
Note: Post and note location of "How to Save a Choking Victim" information.
  • Location of all exits and flashlights:

  • Location of spare house/car keys:

  • Location of Circuit Breaker:

  • Location of Water Main:

  • How to operate all doors and windows:

  • What to do in case of an emergency/what constitutes an emergency

  • Never leave child(ren) alone while eating

  • Do not give honey to children under one year of age

  • Children under the age of 3 should not be given peanut/tree nut products, wheat products, shellfish, soy, milk or eggs unless specified by parent

  • Avoid giving children under the age of four:
    Raisins, hot dogs, grapes, nuts, popcorn, pretzels, hard candy, celery, raw carrots, raw pears or apples

  • Peel and cut fruit for children between the ages of four and seven.

Our Family Routine:

This is where any rules or restrictions on programs, games, discipline, visitors, foods, etc. should be listed. Rules for leaving the house, completing chores, homework, telephone calls, and bedtime routines should also be mentioned if they apply.

Actual Events:

List what was eaten, watched, actual bedtime, any observations, behavior and/or anything else parents should know upon their return.

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________


Note: Don't forget to leave money, car seats, boosters and/or carriers in case of an emergency.




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