How to Fill Out Babysitter's Checklist

Babysitter's Checklist at a glance

What it is: Take a copy of this checklist every time you baby-sit. Have the parents help you fill it out before they leave.

A filled-in Babysitter's Checklist example: a babysitter fills out the checklist

Babysitter's Checklist example filled out, example: a babysitter fills out the checklist
Jane Sample, a babysitter, fills out the Babysitter's Checklist with the parents. She sits one child, age 6, while the parents are out. The picture shows one filled checklist, and its names and figures are sample values. Special Instructions has one line, so the other three lines of Special Instructions stay empty. Nothing goes in the second Poison Control Center line because the first line holds the number.

How to fill out Babysitter's Checklist, box by box

Child's name, Age and Weight

Babysitter's Checklist example filled out, child's name, Age and Weight

Enter the child's name, age and weight. Place a photo of the child on the form, or attach a photo of the child to the form, for identification.

Parents are at, Parents will be home at and Telephone number

Babysitter's Checklist example filled out, parents are at, Parents will be home at and Telephone number

Enter where the parents are, when the parents will be home and the telephone number to reach the parents.

If cannot reach parents, call and In case of emergency, call

Babysitter's Checklist example filled out, if cannot reach parents, call and In case of emergency, call

If you cannot reach the parents, enter who to call and the number At which to call. Enter who to call in case of emergency.

Police, Fire, Doctor's name and Poison Control Center

Babysitter's Checklist example filled out, police, Fire, Doctor's name and Poison Control Center

Enter Police, Fire, the doctor's name and Phone, and the Poison Control Center.

Cincinnati Drug & Poison Information Center 1-800-222-1222.

Medical problems, Allergies and Special Instructions

Babysitter's Checklist example filled out, medical problems, Allergies and Special Instructions

Enter Medical problems, Allergies and Special Instructions.

For Special Instructions*: if a child is to be given medication by a babysitter, make sure the child's name, the name of the medicine and the proper dosing information is available on the label and discussed with the parents to be sure you understand. Make sure you know where it is stored and put the medicine away in its safe place when done using.

Sources

[1] Babysitter's Checklist (the Official source link on this page).

Babysitter Checklist Form PDF Details

Ensuring the safety and well-being of a child in one's care is a paramount responsibility, which becomes significantly easier with the aid of a carefully crafted Babysitter's Checklist. This comprehensive form is designed as a tool for babysitters to use every time they take on the responsibility of caring for a child, encouraging a thorough exchange of necessary information between the parents and the babysitter before the former departs. From the critical basics like the child's name, age, and a photo for identification purposes, to detailed contact information for reaching parents or emergency contacts, including the police, fire department, family doctor, and the Poison Control Center, the checklist covers all bases. It goes further to include the child's weight, any medical problems or allergies they may have, and specific instructions for medication administration, ensuring that babysitters are well-prepared to handle a range of scenarios. The inclusion of the Cincinnati Drug & Poison Information Center's contact information underscores the importance of having immediate access to professional advice in case of an emergency. This checklist not only serves as a critical resource for babysitters but also offers parents peace of mind, knowing that their child's caretaker has all the necessary information at hand.

The babysitter checklist form is organized into clear sections that cover every aspect of child care. The child information section captures the child's full name, date of birth, and any identifying details. The emergency contacts section lists phone numbers for both parents, local emergency services, and the family doctor. A dedicated medical section records allergies, current medications with dosage amounts, and any chronic conditions the babysitter needs to know about. The house rules section outlines bedtime routines, approved snacks, screen time limits, and any restricted areas in the home. Completing every field before parents leave ensures the babysitter can act quickly and correctly in any situation, whether routine or unexpected.

Parents and babysitters both benefit from reviewing the babysitter checklist together before care begins. This shared review builds trust and ensures the babysitter feels confident handling daily tasks and emergencies alike. Whether you are a first-time babysitter or an experienced caregiver, using a standardized checklist every time you take a new job demonstrates professionalism and shows parents that child safety is your top priority.

QuestionAnswer
Form NameBabysitter Checklist Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesBabysitting Information Sheet, Babysitting Checklist Form