The following information will be needed to setup a new CareCalendar.
Please take the time to gather this information before continuing with the setup process.
COORDINATOR
Name: _________________________________
Email: _________________________________
Phone: _________________________________
RECIPIENT
Name: _________________________________
Street: _________________________________
City, State, Zip: __________________________
Email: _________________________________
Phone: _________________________________
CARE DATES
Start date: ___/___/_____
Estimated End date: ___/___/_____
NEEDS
Determine the type of help that is needed and provide general details about those needs.
Use the following as a guide:
Childcare
Number of children :
Ages :
Allergies :
Special needs :
Preferred care location :
Other pertinent information about the child(ren) :
Type of housework needed :
Chemical sensitivities :
Cleaning supplies and equipment provided : Yes/No ________________________________________________________
________________________________________________________
________________________________________________________
Meal
Usual meal time :
Number of people eating :
Food sensitivities :
Diet restrictions :
Favorite Foods :
Specific Dislikes :
Microwave available? : Yes/No
Freezer space available? : Yes/No ________________________________________________________
________________________________________________________
________________________________________________________
Will any of the above need types be 'restricted' to certain helpers only? If so, gather a list of names and email addresses for 'Special Helper' access.
Childcare
