Babysitting information form

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* 1. How many kids do you have?

1

2

3

4

Other (please specify)

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* 2. Children's names and ages

First child

Second child

Third child

Fourth child

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* 3. Children's allergies

First child

Second child

Third child

Fourth child

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* 4. parent information

parent #1 phone number

parent #2 phone number

If I cannot get in contact with parent call (name and number)

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* 5. General information

Food notes

Discipline do's and dont's

Bed time notes

If the child(-ren) need fed, where can I find the food/make it?

Extra notes

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* 6. Children’s intrests

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* 7. Your name

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* 8. What is your address