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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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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:
- 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.
- 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.
- If
the door is warm, try another escape route.
- 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.
- 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:
(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.
- 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).
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