Family Information Sheet

Hello Safe Parents!

It has been a while since my last post, and I know that I have not been posting as much as I have intended to. I recently completed a fantastic Hatha Yoga teacher training course at Rama Lotus Yoga Centre in Ottawa (www.ottawayoga.com) and dedicated many of the last few months to allowing myself to grow as an individual and absorb all the knowledge I could from the course.

But....I am back and have full intentions to continue posting and sharing on a regular basis. We also now have a facebook group and I look forward to seeing some of you there!

Below you will find a Family Information Sheet that is included in our Safe Parent manual. The intention of this is to create a place for you to write down information to share with your baby-sitter should you be able to find a spare moment to enjoy a nice dinner sans enfants! If you have the same sitter regularly I suggest filling out the family information sheet and leaving a copy at your home by the phone and give a copy to the sitter to keep with them. So what are you waiting for?! Call the baby-sitter and plan a night or afternoon out with your spouse, friends, or take an afternoon yoga class and stop off for some tea on your own!

Family Information Sheet

Family Name: _________________

Parents Name: _________________

Parents Work Numbers: __________________ ____________________

Custody Information: __________________________

Children’s Names and Age:

1) ______________________________

2) ______________________________

3) ______________________________

4) ______________________________

5) ______________________________


Address: ________________________________________________________________

Description of House: _____________________________________________________

Phone Number: _____________________

Cellular Phone: _____________________ _____________________

Emergency Contacts:
*full name, address, phone number, relation

1) _______________________________________________________________________



2) ________________________________________________________________________



Police Department: __________________________

Ambulance: _____________________________

Fire Department: _________________________

Is your area serviced with 911?

Poison Control Centre: ___________________

Children’s Doctor (name and contact number): __________________________________



Children’s Allergies, Medications, Special Needs

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________




Children’s Routines:








Meals, Snacks and Feedings: