Emergency Information for Babysitter
Important Phone Numbers
  
 Home and Car Information
  
 Our Plans for Today
Emergency
 911
Father (cell)
 (123) 555-1212
Father (work)
 (123) 555-1414 x2121
Mother (cell)
Mother (work)
Family Doctor
[enter more]

Address
 [address line 1 address line 1 address line 1 address line 1]

 [address line 2]

 [address line 3]
Car
 [make, model, color, license plate]
Car
 [make, model, color, license plate]
Agenda

[Enter your general plans and whereabouts so the sitter has an understanding of what you are doing and where you are in case of an emergency.  Indicate which car you will be driving.] 

We will have our cell phones with us.

Return
 [Approximate time that you'll be returning home.]
Family Members Who Live Here


Family Member


First Name


Last Name
Employer
Employer Phone







Mother











Father














 

Age

 

Birthdate

 

Hair Color

 

Height

 

Weight

 

Allergies

 

Doctor

 

Dentist

 

Medical Plan Info

 

Dental Plan Info

Son











Daughter











Daughter











[enter more]












Emergency Contact Names
  
 Special Instructions

 

Relationship

 

First Name

 

Last Name

 

Phone Number

Grandmother [first name] [last name] (123) 555-3131
Grandfather


Neighbor


[enter more]




 

  • If you think one of the children is having an emergency, call 911 before you call any parents. 
    • Emergency examples: Unconsciousness, not breathing, difficulty breathing, bleeding badly, having an allergic reaction.
  • (Example) If Johnny ate nuts and his face swells up, give him [xyz] and have his sister call 911 for you.
  • Nearest emergency room: [enter address here]
  • [add other instructions]