LIFE’S CHECKLISTS · FREE WORKSHEET
Backup childcare coordination
Organize administrative questions and next actions. Keep identity numbers, clinical records and children’s identifying information in the responsible organization’s secure process. This is a planning worksheet, not an official application or authorization.
First read the completed example. Then write your own answers in the blank sections. If you do not know an answer, write what you need to ask. Official applications may require their own forms.
Completed example
This is a fictional practice entry. Write your own details in the blank sections below.
- Care period
- Tuesday 3–5 p.m.
- Arrangement to confirm
- Aunt Maya offered; parent must confirm
- Responsible adult role
- Parent approves caregiver and pickup
- Travel / handoff plan
- Meet at agreed entrance after approval
- Provider procedure to verify
- Center's authorized-pickup requirements
- Next confirmation
- Parent calls center Monday
Date: ____________________
Item 1
Arrangement to confirm
Responsible adult role
Travel / handoff plan
Provider procedure to verify
Next confirmation
Item 2
Arrangement to confirm
Responsible adult role
Travel / handoff plan
Provider procedure to verify
Next confirmation
Item 3
Arrangement to confirm
Responsible adult role
Travel / handoff plan
Provider procedure to verify
Next confirmation
Item 4
Arrangement to confirm
Responsible adult role
Travel / handoff plan
Provider procedure to verify
Next confirmation
Notes: