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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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| _ /TD>
| 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)
|
|
|
Emergency
help numbers to call:
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| _ |
Poison
control:
|
| _ |
Police
department:
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| _ |
Fire
department:
|
| _ |
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:
|
| _ |
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:
|
| _ |
Policy holder's
name:
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| _ |
Policy holder's
identification number:
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Details
about our children:
|
| _ |
(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)
|
| _ |
(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)
|
| _ |
(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)
|
| _ |
(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)
|
| _ |
(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)
|
|
|
House
rules and routines:
|
| _ |
Television
programs and movies that are acceptable or unacceptable:
|
| _ |
Foods that are
acceptable or unacceptable:
|
| _ |
Guidelines for
outside play:
|
| _ |
Guidelines for
company:
|
| _ |
Bedtime
routine:
|
| _ |
Special
considerations:
|
| _ |
Our discipline
philosophy:
|
| _ |
Never leave
children unattended with food.
|
|
|
Special
requests:
Please write down
details about your day/night with our children.
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| _ |
What and when
did they eat?
|
| _ |
What time did
they nap/go to bed for the night?
|
| _ |
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.
|
| _ |
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).
|
|
|
Work at Home Success By Jill Hart
Mom Laughs By Cheryl Moeller
Simplifying Motherhood By Trish Berg
Ask A Twin Mommy By Cheryl Lage
Mothering By Heart By Cheri Fuller
Jelly Mom By Lisa Barker
Family Check-up By Sheila Wray Gregoire
Parent to Parent By Jodie Lynn
Moments for Mom By Elisabeth Corcoran
Making the Most of Marriage By Paula Friedrichsen