Date:

Dear Babysitter,
Mom’s cell phone number:       We will be back at: 
 
Dad’s cell phone number:       We are going: 
 
 
Emergency contact:_________________________________________
Poison Control:_____________________________________________
Hospital:___________________________________________________
Pediatrician:________________________________________________
For Life-threatening Emergency Dial 9-1-1
 
Favorites-
_______________________ loves _________________________________________________________ 
_______________________ loves__________________________________________________________ 
_______________________ loves__________________________________________________________ 
_______________________ loves__________________________________________________________ 
_______________________ loves__________________________________________________________ 
Games are in the:_____________________________Movies:_________________________ 
Snack they may eat:___________________________________________________ 
Home and family Rules-
1._____________________________________________________________________ 
2._____________________________________________________________________ 
3._____________________________________________________________________ 
4._____________________________________________________________________ 
5._____________________________________________________________________ 

Bedtime Routine- Tips-

___________________________________________    ___________________________________________ 
___________________________________________    ___________________________________________ 
___________________________________________    ___________________________________________ 
___________________________________________    ___________________________________________ 
___________________________________________    ___________________________________________ 
___________________________________________    ___________________________________________ 

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