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2018 Household Plannerwww.simplystacie.net
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Password TrackerDATE WEBSITE PASSWORD NOTE
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Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Chore Chart
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De-Clutter ListKITCHEN
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LIVING ROOM
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DINING ROOM/OFFICE
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BEDROOM
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BATHROOM
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CLOSET
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GARAGE
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OTHER
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OTHER
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Cleaning PlannerDAILY
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WEEKLY
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MONTHLY
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QUARTERLY
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TWICE A YEAR
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QUARTERLY
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YEARLY
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SPECIAL CLEANING
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OTHER
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Cleaning PlannerKITCHEN
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LIVING ROOM
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DINING ROOM/OFFICE
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BEDROOM
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BATHROOM
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CLOSET
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GARAGE
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OTHER
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OTHER
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Family Medical TrackerFamily Member: ________________________________________________________________________
Doctor’s name: _________________________________________________________________________
Doctor’s phone #: ______________________________________________________________________
Appointment date/time:_________________________________________________________________
Reason for appointment:_________________________________________________________________
Family Member: ________________________________________________________________________
Doctor’s name: _________________________________________________________________________
Doctor’s phone #: ______________________________________________________________________
Appointment date/time:_________________________________________________________________
Reason for appointment:_________________________________________________________________
Family Member: ________________________________________________________________________
Doctor’s name: _________________________________________________________________________
Doctor’s phone #: ______________________________________________________________________
Appointment date/time:_________________________________________________________________
Reason for appointment:_________________________________________________________________
Family Member: ________________________________________________________________________
Doctor’s name: _________________________________________________________________________
Doctor’s phone #: ______________________________________________________________________
Appointment date/time:_________________________________________________________________
Reason for appointment:_________________________________________________________________
Family Member: ________________________________________________________________________
Doctor’s name: _________________________________________________________________________
Doctor’s phone #: ______________________________________________________________________
Appointment date/time:_________________________________________________________________
Reason for appointment:_________________________________________________________________
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9-1-1 For EmergencyPERSONAL INFORMATION
NAME: _____________________________________________________________________ADDRESS: __________________________________________________________________PHONE #: __________________________________________________________________EMAIL:______________________________________________________________________SPECIAL NOTE:______________________________________________________________
IN CASE OF AN EMERGENCY CALL 9-1-1POLICE DEPARTMENT: _______________________________________________________FIRE DEPARTMENT: __________________________________________________________SECURITY COMPANY: _______________________________________________________DOCTOR NAME: ____________________________________________________________POISON CONTROL: _________________________________________________________
EMERGENCY CONTACT: ____________________________________________________ADDRESS : _________________________________________________________________PHONE #: _________________________________________________________________ RELATIONSHIP:______________________________________________________________
EMERGENCY CONTACT: ____________________________________________________ADDRESS : _________________________________________________________________PHONE #: _________________________________________________________________ RELATIONSHIP:______________________________________________________________
INSURANCE: ________________________________________________________________INSURANCE : _______________________________________________________________PHARMACY: _______________________________________________________________MEDICATION: ______________________________________________________________MEDICATION: ______________________________________________________________MEDICATION: ______________________________________________________________ALLERGIES: _________________________________________________________________
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Important ContactsNAME: _____________________________________________________________________ADDRESS: __________________________________________________________________PHONE #: __________________________________________________________________EMAIL:______________________________________________________________________OTHER:______________________________________________________________________
NAME: _____________________________________________________________________ADDRESS: __________________________________________________________________PHONE #: __________________________________________________________________EMAIL:______________________________________________________________________OTHER:______________________________________________________________________
NAME: _____________________________________________________________________ADDRESS: __________________________________________________________________PHONE #: __________________________________________________________________EMAIL:______________________________________________________________________OTHER:______________________________________________________________________
NAME: _____________________________________________________________________ADDRESS: __________________________________________________________________PHONE #: __________________________________________________________________EMAIL:______________________________________________________________________OTHER:______________________________________________________________________
NAME: _____________________________________________________________________ADDRESS: __________________________________________________________________PHONE #: __________________________________________________________________EMAIL:______________________________________________________________________OTHER:______________________________________________________________________
NAME: _____________________________________________________________________ADDRESS: __________________________________________________________________PHONE #: __________________________________________________________________EMAIL:______________________________________________________________________OTHER:______________________________________________________________________
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Company InformationNAME: _____________________________________________________________________ADDRESS: __________________________________________________________________PHONE #: __________________________________________________________________EMAIL:______________________________________________________________________OTHER:______________________________________________________________________
NAME: _____________________________________________________________________ADDRESS: __________________________________________________________________PHONE #: __________________________________________________________________EMAIL:______________________________________________________________________OTHER:______________________________________________________________________
NAME: _____________________________________________________________________ADDRESS: __________________________________________________________________PHONE #: __________________________________________________________________EMAIL:______________________________________________________________________OTHER:______________________________________________________________________
NAME: _____________________________________________________________________ADDRESS: __________________________________________________________________PHONE #: __________________________________________________________________EMAIL:______________________________________________________________________OTHER:______________________________________________________________________
NAME: _____________________________________________________________________ADDRESS: __________________________________________________________________PHONE #: __________________________________________________________________EMAIL:______________________________________________________________________OTHER:______________________________________________________________________
NAME: _____________________________________________________________________ADDRESS: __________________________________________________________________PHONE #: __________________________________________________________________EMAIL:______________________________________________________________________OTHER:______________________________________________________________________
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Medication TrackerMEDICATION DOSAGE FREQUENCY NOTE
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Baby Sitter InfomationPERSONAL INFORMATION
NAME: ____________________________________________________________________ADDRESS: __________________________________________________________________PHONE #: __________________________________________________________________EMAIL:______________________________________________________________________SPECIAL NOTE:_____________________________________________________________
IN CASE OF AN EMERGENCY CALL 9-1-1POLICE DEPARTMENT: _______________________________________________________FIRE DEPARTMENT: __________________________________________________________SECURITY COMPANY: _______________________________________________________DOCTOR NAME: ____________________________________________________________POISON CONTROL: _________________________________________________________
EMERGENCY CONTACT: ____________________________________________________ADDRESS : _________________________________________________________________PHONE #: _________________________________________________________________ RELATIONSHIP:______________________________________________________________
EMERGENCY CONTACT: ____________________________________________________ADDRESS : _________________________________________________________________PHONE #: _________________________________________________________________ RELATIONSHIP:______________________________________________________________
CHILD MEAL ROUTINE BEDTIME NOTE
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School InformationPERSONAL INFORMATION
NAME: ____________________________________________________________________ADDRESS: __________________________________________________________________PHONE #: __________________________________________________________________EMAIL:_____________________________________________________________________
PRINCIPAL: ________________________________________________________________ASST. PRINCIPAL: __________________________________________________________TEACHER: _________________________________________________________________SCHOOL TIME: _____________________________________________________________
MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
CLASS ROOM: _____________________________________________________________BUS # /TIMES AM/PM: ______________________________________________________LOCATION: _______________________________________________________________ LOCKER/ COMBO: _________________________________________________________
CLASS MATE:_______________________________________________________________PHONE #: _________________________________________________________________ CLASS MATE:_______________________________________________________________PHONE #: _________________________________________________________________
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Notes________________________________________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
