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Name of Child{s}

Name of Parents

Number of Home

Location of Parents

Emergency Contact's Name% Number

Is the child going to eat while I am here? {If so what}

Do you have a alarm system? What is the code for it?

The Nearest Hospital {or clinic}

Any Allergies of the Child

Number of Local Fire Department

Number of Local Police Department

Number of Poison Control

Mother's Cell Phones Number

Father's Cell Phones Number

Address of their house

Nearest Cross Walk

Nearest Pharmacy

Does the Child have any Medication to take

Is your child allowed to watch television or play Video Games or computer? What and how much is allowed? Does your child get a bedtime snack? If so, what is allowed?

What time is bedtime? Are there any other parts of the child{s} routines that I need to be aware of?

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15y ago

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