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[]
[null,"Babysitter Checklist",{"$nulls":9},"CHILD'S NAME:","ANDREW"]
[{"$nulls":11},"CHECKLIST START TIME:","07:00:00"]
[{"$nulls":11},"INTERVAL (IN MINUTES):",60]
[null,"SCHEDULE","FOOD AND PERSONAL CARE",{"$nulls":4},"ENTERTAINMENT AND REST (RECORD MINUTES) ",{"$nulls":4},"OTHER"]
[null,"Time","Meal or Snack","Bottle or Drink","Brushed teeth","Diaper change","Bath","Outdoor","Indoor","Books","TV","Nap or Bed","Notes"]
[null,{"$f":"StartTime","v":"07:00:00"}]
[null,{"$f":"B7+TIME(0,Interval,0)","v":"08:00:00"}]
[null,{"$f":"B8+TIME(0,Interval,0)","v":"09:00:00"}]
[null,"10:00:00"]
[null,"11:00:00"]
[null,"12:00:00"]
[null,"13:00:00"]
[null,"14:00:00"]
[null,"15:00:00"]
[null,"16:00:00"]
[null,"17:00:00"]
[null,"18:00:00"]
[null,"19:00:00"]
[null,"20:00:00"]
[null,"21:00:00"]
[null,"22:00:00"]
[null,"23:00:00"]
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[]
[null,{"$f":"\"SPECIAL INSTRUCTIONS FOR \"&ChildName","v":"SPECIAL INSTRUCTIONS FOR ANDREW"}]
[null,{"$f":"\"What \"& PROPER(ChildName)& \" can eat and when:\"","v":"What Andrew can eat and when:"}]
[null,{"$f":"\"What \"& PROPER(ChildName)& \" can't eat:\"","v":"What Andrew can't eat:"}]
[null,{"$f":"\"Approved TV/video games for \"&PROPER(ChildName)&\":\"","v":"Approved TV/video games for Andrew:"}]
[null,{"$f":"PROPER(ChildName)&\"'s bedtime is:\"","v":"Andrew's bedtime is:"}]
[null,{"$f":"\"Things \"&PROPER(ChildName)&\" isn't allowed to do:\"","v":"Things Andrew isn't allowed to do:"}]
[null,{"$f":"\"For disciplinary problems with \"&PROPER(ChildName)&\":\"","v":"For disciplinary problems with Andrew:"}]

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[null,"Emergency Information"]
[null,"CONTACT INFORMATION"]
[null,"My location and phone:","Allie Bellew's house, phone: 555-0134"]
[null,"Time I'm expected home:","19:00:00"]
[null,"Alternate contact and phone:","George Smith (grandfather), phone: 555-0187"]
[null,"Our 911 address:","123 W. Hyde Park, Hillsdale WA"]
[null,"Our closest major intersection:","North Drive and Toronto Road"]
[null,"Neighbor contact and phone:","Elly Nkya, phone: 555-0176"]
[]
[null,"EMERGENCY TREATMENT RELEASE FORM"]
[null,"CHILD'S NAME","BIRTH DATE","KNOWN MEDICAL CONDITIONS, FOOD/DRUG ALLERGIES, MEDICATION (PRESCRIBED AND OVER THE COUNTER), ETC:"]
[null,"Andrew Smith","2001-03-30","None"]
[null,"Ginny Smith","1997-03-28","Allergic to penicillin"]
[]
[null,"Any licensed physician, dentist or hospital may give necessary emergency medical service to my children listed above at the"]
[null,"request of the person bearing this consent form."]
[]
[null,"Date",null,"Parent Signature or Legal Guardian"]
[]
[null,"MEDICAL INFORMATION"]
[null,"TYPE/PHYSICIAN NAME","PHONE","ADDRESS"]
[null,"Dentist: Dr. John","455-555-0134","1600 Cherry Blvd, Hillsdale"]
[null,"Physician: Dr. Rollin","455-555-0145","3400 Washington Drive, Hillsdale"]
[null,"Orthodontist: Dr. Casazza","455-555-0156","123 W. Adams Street, Chatham"]
[]
[null,"INSURANCE INFORMATION"]
[null,"TYPE PROVIDER","POLICY #","INSURED NAME"]
[null,"Medical","987687-88776","John Smith"]
[null,"Dental","09877UT9U","John Smith"]
[null,"Prescription","7658007 99","John Smith"]