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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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