Porter County Sheriff's Department


Guide for Babysitters

Print this form from your computer and have someone
from the family you are sitting for fill it out for you!
It could make the difference in an emergency. 

FOR LIFE THREATENING EMERGENCIES: CALL 911

FAMILY NAME: _____________________________________________________

CHILDREN'S NAMES:

______________________________________________AGE:_______________

______________________________________________AGE:_______________

______________________________________________AGE:_______________

______________________________________________AGE:_______________

FAMILY ADDRESS:_________________________________________________

NEAREST CROSS STREETS:_________________________________________

NUMBER TO CONTACT PARENTS:_____________________________________

DOCTOR'S NAME:__________________________PHONE:__________________

HOSPITAL:________________________________PHONE:__________________

POISION CONTROL CENTER (in Porter County):  800- 382-9097 ____________

NEIGHBOR TO CONTACT FOR HELP:___________________________________

NEIGHBOR PHONE NUMBER:_________________________________________

ADDITIONAL INSTRUCTIONS:_________________________________________

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1999-2014 Porter County Sheriff. All rights reserved. Page design by Edie Hahn.