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City Council | City Jobs | Senior Center | Classes/RACER | Departments | Performing Arts

Baby-sitting safety checklist

Updated December 23, 2009

Print this form out and complete the information requested.

Address and phone:
________________________________________

________________________________________

Where parents will be:
________________________________________

________________________________________

Emergency neighbor contact:
________________________________________

________________________________________

Child(ren)'s doctor:
________________________________________

________________________________________

Allergies:
________________________________________

________________________________________

Medications:
________________________________________

________________________________________

Night light?
________________________________________

Special instructions or routines to follow:
________________________________________

________________________________________

Emergency phone numbers
Emergency: Dial 911
Cerritos Sheriff's Station/Community Safety Center: (562) 860-0044

Fire Department: __________________________

Poison Control Center: __________________________

Make photocopies of this list so it can be used for each baby-sitting job.

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(562) 860-0044
Cerritos Sheriff's Station