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Our names:
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Our home
address:
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Our home
telephone number:
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The name,
phone number, and location of where we'll be:
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The time we
plan to return home:
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House key is
kept:
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Car key is
kept:
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First-aid
supplies are kept:
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Medications
are kept:
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When to
contact us:
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If a child
has been crying for more than 20 or 30 minutes and you can't figure out
what's wrong.
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If a child
develops a fever, vomits, or is injured (more than a superficial scrape).
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Anytime a
situation develops that you feel you can't handle without help.
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Mom's work
and/or cell phone numbers:
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Dad's work
and/or cell phone numbers:
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In an
emergency, if we can't be reached, here's who to contact:
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(Input name,
relationship, address, and telephone)
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(Input name,
relationship, address, and telephone)
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(Input name,
relationship, address, and telephone)
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Emergency
help numbers to call:
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Poison
control:
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Police
department:
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Fire
department:
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Hospital or
urgent care:
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Pediatrician's name and number:
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What to do
in case of a fire:
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In the case
of a small, contained fire (on the stove, for example), the fire
extinguisher can be used if you already know how to operate one. Our fire
extinguisher is located:
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In the event
of a larger fire, gather all the children immediately and usher them out of
the house via the nearest door or window.
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Test doors
before you open them. Kneel down, reach up as high as you can, and touch the
door with the back of your hand--at the knob and around the frame. If
there's a fire on the other side, it will feel warm on the knob and around
the cracks.
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If the door
is warm, try another escape route.
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Exits are
located:
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Take the kids
and go straight to a neighbor's house--preferably one who is on the "in case
of emergency" list--and call 911 from there.
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Call us, or
one of the above alternate contacts if we are not reachable.
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Health
insurance information you may need:
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Insurance
company:
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Group/policy
number:
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Policy
holder's name:
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Policy
holder's identification number:
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Details
about our children:
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(Input
child's full name, age, weight, height, nap and/or bed times, plus special
instructions--food allergies, medical condition(s), names of medication(s)
and dosages, special instructions)
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(Input
child's full name, age, weight, height, nap and/or bed times, plus special
instructions--food allergies, medical condition(s), names of medication(s)
and dosages, special instructions)
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(Input
child's full name, age, weight, height, nap and/or bed times, plus special
instructions--food allergies, medical condition(s), names of medication(s)
and dosages, special instructions)
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(Input
child's full name, age, weight, height, nap and/or bed times, plus special
instructions--food allergies, medical condition(s), names of medication(s)
and dosages, special instructions)
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(Input
child's full name, age, weight, height, nap and/or bed times, plus special
instructions--food allergies, medical condition(s), names of medication(s)
and dosages, special instructions)
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House rules
and routines:
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Television
programs and movies that are acceptable or unacceptable:
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Foods that
are acceptable or unacceptable:
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Guidelines
for outside play:
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Guidelines
for company:
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Bedtime
routine:
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Special
considerations:
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Our
discipline philosophy:
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Never leave
children unattended with food.
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Special
requests:
Please write down
details about your day/night with our children.
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What and when
did they eat?
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What time did
they nap/go to bed for the night?
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Were they
well-behaved?
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Follow
general safety rules:
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Avoid giving:
raisins, hot dogs, raw carrots, celery, grapes, nuts, hard candy, gum,
popcorn, raw pears and apples to children under age four years. For ages
four to six years, be sure to peel and cut apples, pears, and carrots.
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Never drink
or eat anything hot while holding a baby or young child.
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Never leave a
child unattended with food. Make sure any food given to children under age
four years is cut into tiny pieces (about the size of a fingertip).
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