IN CASE OF EMERGENCY:

You can reach me at: ________________________________

If you can't reach me, call: _____________________________ at ______________________

Fire Department: ________________________________

Police Department: ________________________________

Ambulance: ________________________________

Poison Control: ________________________________

Doctor/Clinic:________________________________

HOME ADDRESS:_______________________________________________________

HOME PHONE:________________________________

CELL PHONE:________________________________

Where we will be tonight:________________________________________________________

Phone Number: ________________________________

Time we expect to be home: ________________________________

SPECIAL INSTRUCTIONS:
Snack: ________________________________________________________

Meal: ________________________________________________________

Bed Time: ________________________________________________________

Bath: ________________________________________________________

Friends to play while I'm gone?        yes        no

Entertainment Ideas: ________________________________________________________
____________________________________________________________________________

DO-NOT: ________________________________________________________
__________________________________________________________________

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