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Babysitter Checklist

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Babysitter’s Checklist

HOUSE INFORMATION
Street_ _____________________________________________________________

City_________________________________________________________________

Phone_______________________________________________________________

ADDRESS WHERE WE’ll BE


Street_ __________________________________________________

City______________________________________________________ _

House phone______________________________________________ _

Cell phone(s)_____________________________________________

TIME We’ll be home:_ __________________________________ AM PM

Can’t reach us? Call_ _______________________________ at _ ____________________

EmergeNcy Numbers
911 (Emergency) 1.800.222.1222 (National Poison Control)
Other_______________________________________________________________________

ALLERGIES
___________________________________________________________________________

EATING SCHEDULE/INSTRUCTIONS
Breakfast:__________________________________________ Time: _____________

Lunch:_____________________________________________ Time:_ ____________

Dinner:_ ___________________________________________ Time:_ ____________

Snack:_____________________________________________ Time:_ ____________

SLEEPING SCHEDULE/INSTRUCTIONS
Naptime:___________________________________________ Time: _____________

Bedtime:___________________________________________ Time:_ ____________

SPECIAL NOTES:
___________________________________________________________________________

___________________________________________________________________________
Babysitter CommeNts
How did my children do?

___________________________________________________________________________

___________________________________________________________________________
©2008 CEC Entertainment. Chuck E. Cheese, logo and all characters are trademarks of CEC Entertainment.

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