Babysitting Schedule and Care Instructions Form

Babysitting Schedule and Care Instructions Form
Please complete all sections of the Babysitting Schedule and Care Instructions Form to help us provide safe and attentive care.
Parent or Guardian Name
First NameLast Name
Child's Name
First NameLast Name
Child's Age
Babysitting Date and Time
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Address Where Babysitting Will Take Place
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact Name and Phone Number
Allergies, Restrictions, or Medical Notes
Care Instructions and Bedtime Routine
Approved Activities or Entertainment
Pick-Up and Drop-Off Details
Should be Empty: