(à imprimer)
Vous gardez les enfants de:
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Notre adresse:
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Prénom des enfants:
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N° utiles:
Téléphone portable des parents: ___________________________
Police: 17 Pompiers: 18 SAMU: 15
Parent le plus proche
Nom: _________________________________________________________
Adresse: ______________________________________________________
Téléphone:_____________________________________________________
Voisin prêt à rendre service
Nom: _________________________________________________________
Adresse: ______________________________________________________
Téléphone:_____________________________________________________
Vous pouvez nous atteindre chez
Nom : _________________________________________________________
Adresse: ______________________________________________________
Téléphone:_____________________________________________________
Nous sommes de retour: env. à _____________heures
Consignes à la Baby-sitter:

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Appels

Qui: ____________________ Quand: ___________heures

Message: ______________________________________________________
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Qui : ____________________ Quand: ___________heures

Message: ______________________________________________________
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