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Important Names & Numbers

For Emergencies Call

911

Names: Phone Numbers:

Important Names & Numbers

Names: Phone Numbers:

Authorization for Treatment of a Minor

In the event of an emergency medical situation relating to my minor child(ren) as listed below and in the event

that I am unavailable, I hereby give my consent to any hospital or paramedic to administer whatever

emergency medical care deemed appropriate by that emergency medical staff, until I can be contacted.

Name of Guardian(s): 1st Child: Sex:

Medications or Allergies:

Date of Last Tetanus: Birth Date: 2nd Child: Sex:


Date of Last Tetanus: Birth Date: 3rd Child: Sex:


Date of Last Tetanus: Birth Date:

4th Child: Sex: Medications or

Allergies:

Date of Last Tetanus: Birth Date:

In Addition to Myself, Please Notify:

Name: Relationship: Home #: Cell #:

Signature(s) and Social Security Number(s) of Guardian(s):

Parents: Social Security #: Name: Signature: Father:

Mother: Address & Phone Numbers:

Street: City: State/Zip:

Work#’s: Cell #’s:

Babysitter Information

Our Address Is:

_________________________________________________

_________________________________________________

_________________________________________________

Home Phone #:

_________________________________________________

Cell Phone #’s:

_________________________________________________ Our Family Members: Ages:

Special Instructions:

We will be home at:

We are going to be:

We will be home at:

Our Family Mission Statement

Our Family Goals

Spiritual: “And now behold, I ask of you my brethren of the church, have ye been spiritually born of God? Have ye received his

image in your countenances? Have ye experienced this mighty change in your hearts?” Alma 5:14

Educational: “And as all have not faith, seek ye diligently and teach one another words of wisdom; yea, seek ye out of the best books

words of wisdom; seek learning, even by study and also by faith.” D&C 88:118

Financial: “It must needs be necessary that ye save all the money that ye can, and that ye obtain all that ye can in righteousness,

that in time ye may be enabled to purchase land for an inheritance, even the city.” D&C 48:4

Family: “Organize yourselves; prepare every needful thing, and establish a house, even a house of prayer, a house of fasting, a house

of faith, a house of learning, a house of glory, a house of order, a house of God.” D&C 109:8

Physical/Talents: “And all this for the benefit of the church of the living God, that every man may improve upon his talent, that every

man may gain other talents, yea, even an hundred fold.” D&C 82:18

When Setting Goals . . . Remember, to be SMART!

Keep them Simple, Manageable, Attainable, Realistic, and set a Time line!

Here’s What We Did This Month!

& Anniversary Cards

Birthday’s & Anniversaries

Here’s What We Did This Month!

Wants, Needs, & Sizes

Photo!

Clothing

Item:

Size:

Pants

Shirt

Dress

Coat

Shoes

Undies

Undershirts

Name:

Want/Need: Store: Price:

Visiting Teaching Information

Partner:

Birthday:

Address:

Phone #’s: Home: Cell:

Favorite Things:

Sister:

Birthday:

Address:


Favorite Things:

Sister:

Birthday:

Address:


Favorite Things:

Visiting Teaching Record

V=Visit, P=Phone Call, D=Dropped By, LT=Left Treats

January February March April May June

July August September October November December

Home Teaching Information

Companion:

Birthday:

Address:


Best Time:

Family Names:

Birthday’s:

Address:


Best Time:

Family Names:

Birthday’s:

Address:


Best Time:

Home Teaching Record

V=Visit, P=Phone Call, D=Dropped By, LT=Left Treats



2010 Holidays

Holiday Date Day

New Year’s Day January 1st Friday

Martin Luther King Jr. Day (observed) January 18th Monday

Groundhog Day February 2nd Tuesday

Valentine’s Day February 14th Sunday

President’s Day February 15th Monday

Daylight Savings Time Begins March 14th Sunday

St. Patrick’s Day March 17th Wednesday

First Day of Spring March 20th Saturday

April Fool’s Day April 1st Thursday

Easter April 4th Sunday

Administrative Professional’s Day April 21st Wednesday

National Teacher’s Day May 4th Tuesday

Cinco De Mayo May 5th Wednesday

Mother’s Day May 9th Sunday

Memorial Day May 31st Monday

Flag Day June 14th Monday

Father’s Day June 20th Sunday

First Day of Summer June 21st Monday

Independence Day July 4th Sunday

Pioneer Day July 24th Saturday

Labor Day September 6th Monday

National Grandparent’s Day September 12th Sunday

First Day of Autumn September 23rd Thursday

Columbus Day October 11th Monday

Bosses’ Day October 16th Saturday

Halloween October 31st Sunday

Election Day November 2nd Tuesday

Daylight Saving Time Ends November 7th Sunday

2010 Holidays

Holiday Date Day

Veteran’s Day November 11th Thursday

Thanksgiving November 25th Thursday

First Day of Winter December 21st Tuesday

Christmas Eve December 24th Friday

Christmas Day December 25th Saturday

New Year’s Eve December 31st Friday

School Vacations

Work Vacations

Holiday Traditions & Ideas

Weekly Over-View Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Record Weekly Schedules and Appointments

Monthly Reminders Activity or Appointment: Day & Date

Scheduled: Who Does It

Involve?

Quarterly Reminders Activity or Appointment: Day & Date


Involve?

6 Month Reminders Activity or Appointment: Day & Date


Involve?

Yearly Reminders Activity or Appointment: Day & Date


Involve?

FaMiLy

Routines Table of Contents:

Daily Quick Clean Schedule

My Routines

Kid’s Routines

Kid’s Jobs

Extra Money Job List

My Running Project List

Weekly Over-View

Garden Zones

Daily Quick Clean Schedule:

5 Minutes in Each Room . . . EVERY Day!

Room: Assigned To:

My Routines

Morning Routine: Evening Routine:

Kids Routines

Morning Routine: Evening Routine:

Extra Money Job List All other Jobs have to be completed before choosing a Job from the Extra Money Job List!

Job: How Much Is It Worth?

Who Did It? Paid!

Our Family Jobs

Stick to the task ‘til it sticks to YOU,

Beginners are many . . . Finishers are few.

Work at it, Sweat at it, SMILE at it too,

And Stick to the Task ‘til it sticks to YOU!

This Week’s BEST WORKER Award Goes To:

Way to Go ___________________________!

We’re So Proud of YOU!

My Running Project List:

Project: Supplies: Date: Done!

Items on Loan

Item: On Loan To: Date Borrowed: Returned!

Lawn & Garden Zones Zone 1 Monday

Zone 2 Tuesday

Zone 3 Wednesday

Front Rocks and

The Front of the House.

Assigned To: _________________

Front Bean and

Back Bean.

Assigned To: _________________

Side Garden and

Behind the House.

Assigned To: _________________

Zone 4 Thursday

Zone 5 Friday

Zone 6 Saturday

In Front of the Back Rocks.

Assigned To: _________________

Vegetable Garden and Back Fence.

Assigned To: _________________

Mow Lawn, Weed Eat, and Edge.

Assigned To: _________________

Lawn & Garden Zones

Zone 1 Zone 2 Zone 3 Assigned To: _________________

Area:

Assigned To: _________________

Area:

Assigned To: _________________

Area:


Area:

Assigned To: _________________

Area:

Assigned To: _________________

Area:

House Zones


Area:

Assigned To: _________________

Area:

Assigned To: _________________

Area:


Area:

Assigned To: _________________

Area:

Assigned To: _________________

Area:

Lawn & Garden Reminders

Time to Fertilize:

Date Scheduled:

Date Scheduled:

Date: Scheduled:

Date Scheduled:

Time to Plant: February: March: April: May: June:

July: August: September: Other: Other:

Home Maintenance Reminders

Monthly Maintenance:



Breakfast Repeat

Monday

Muffins & Fruit

Tuesday

Eggs

However You like ‘em!

Wednesday Biscuits & Gravy

Or

Breakfast Sandwiches

Thursday

Flavored

Oatmeal

Friday Smoothies

Or

Parfaits

Saturday Cereal & Fruit

Or

Bagels & Fruit

Sunday German Pancakes

Or

Breakfast Casseroles

Breakfast Repeat Options Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Muffins & Fruit

Eggs However You Like Them!

Breakfast Sandwiches

Flavored Oatmeal

Smoothies Or

Parfaits

Cereal, Fruit, & Bagels

German Pancakes Breakfast Casseroles

Pumpkin Scrambled Biscuits & Gravy

Apple Cinnamon

Granola Bars

Wheat Cowboy Casserole

Cinnamon Boiled Bacon, Egg and Cheese

Raspberry Berry Banana

Smoothies

Blueberry Hearty Breakfast Casserole

Banana Omelets Sausage, Egg, and Cheese

Blueberry Plain Mexican Breakfast Casserole

Poppy Seed Fried Egg Salad Sandwiches

Cranberry Raspberry

Apple Brown Sugar

Cheese

Chocolate Cinnamon Sugar

Lemon Strawberry Blueberry Raspberry

Breakfast Repeat Options Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Main Dish Menu Options Chicken Beef Pork Fish Other

Enchiladas Tacos Pork Chops Halibut Grilled Cheese Chicken Pot Pie Sloppy Joe’s Pork Roast Fish Sticks Pizza Roasted Chicken Spaghetti Pork Loin Scallops Pasta Alfredo

Chicken Quesadilla

Hamburgers Hot Dogs Salmon Zucchini Casserole

Cowboy Casserole Roasts Ham Hash Becky’s Baked Fish

Chicken Alfredo Tri Tip Steak Pulled Pork Sandwiches

Tuna Patties

Chicken Noodle Soup

College Casserole Carnitas and Cabbage

Tuna Casserole

Chicken Broccoli Casserole

Crockpot Stew Beef

Baked Ham Fish Tacos

Chicken Cheese Casserole

Porcupine Meatballs

Chicken Cordon Blue

Fajitas

Chicken Pillows Philly Steak Sandwiches

Hawaiian Haystacks

French Dip

Chicken Bacon Ranch

Sandwiches

Main Dish Menu Options Chicken Beef Pork Fish Other

Side Dish Menu Options Hot Side Dishes Cold Side Dishes

Baked Beans Raspberry Pretzel Salad Bean Casserole Susie Salad

Broccoli Bacon Salad Jell-O

Side Dish Menu Options Hot Side Dishes Cold Side Dishes

Dessert Menu Options Cookies Cakes Other

Weekly Menu Planner:

Season:___________________________

Day 1

Monday

____________________________Day to Cook!

Breakfast:

Lunch:

Dinner:

FHE Treat:

Day 1

Tuesday

____________________________Day to Cook!

Breakfast:

Lunch:

Dinner:

Dessert:

Day 1

Wednesday

____________________________Day to Cook!

Breakfast:

Lunch:

Dinner:

Dessert:

Day 1

Thursday

____________________________Day to Cook!

Breakfast:

Lunch:

Dinner:

Dessert:

Day 1

Friday

____________________________Day to Cook!

Breakfast:

Lunch:

Dinner:

Dessert:

Day 1

Saturday

____________________________Day to Cook!

Breakfast:

Lunch:

Dinner:

Dessert:

Day 1

Sunday

____________________________Day to Cook!

Breakfast:

Lunch:

Dinner:

FHE Treat:

Weekly Shopping List

Dairy Produce Meats/Fish Baking Items Canned Goods

Breads/Cereal Pasta/Sauces Condiments Cleaning Food Storage

Monthly Emergency Preparedness

Planning & Purchase Sheet

Check Carbon Monoxide, Smoke Detector, & Flashlight Batteries

Family Communication Exercise

Add Cash to your Preparedness Bank

This Month’s Purchase:

Up-Date Vital Records Information





Mock Family Emergency Evacuation Drill




Conference Picnic – Rotate 72 Hour Kit Food & Water





Add Cash to your Preparedness Bank & Water to your supply


Family Fire Drill & Communications Exercise

Practice cooking without power!




Stranger Danger Review & Communications Exercise



Family Communications Exercise

Rotate Car Kit Supplies








Emergency Meeting Place Review








Rotate 72 Hour Kit Clothes



Monthly Food Storage and Emergency Preparedness Budget:

_______________________________

Monthly Preparedness Bank Budget:

_______________________________

FaMiLy HOmE EveNinG JOurNaL Date: FHE Topic: Recorded By:

FaMily HOmE EveNinG PhOtos

All About ME!

My Bucket List . . .

My Signature: My School Schedule: I Love . . . Class Period Time

I Really Don’t Like:

My Friends:

A Little More About ME! Height: Shoe Size: Weight: My Favorite Color:

All About US!

Our Bucket List . . .

We Love . . . Places We’ve Been:

We Really Don’t Like: Places We Want To Go:

Our Favorite Resturants:

A Little More About US! Favorite Movie: Favorite Activity: Favorite Movie: Favorite Activity:

Couples Council Date: Opening Prayer: This Week’s Greatest Moments: How Did We Do Last Week? Pay Day! Allowance for the Kids: What Bills Need To Be Paid this Week? Daily Focus Plans: Monday: Tuesday: Wednesday: Thursday: Friday: Saturday: Sunday: Review Last Week’s Goal: Set a New Goal for the Week: This Week’s To Do List Items:

Family Calendar Plans and Schedules: Monday:

Tuesday: Wednesday: Thursday:

Friday:

Saturday: Sunday: A Look Ahead:

Closing Prayer: Next Week’s Couples Council Date: Ward Temple Night Date and Time:

Remember to Praise EVERY Effort . . . Gives Hugs & Kisses!

Pictures for Family History Scrapbook

Bills To Be Paid!

Monthly Expenses For:

_________________________________________ Paid To: Expenses Amount: Check #: Paid

Total Spent: Balance:

Receipts

FaMiLy Activity Planner Activity: Activity Information: Date:

FaMiLy Activities Idea List Visit the Zoo Find out about your

community Wash the Dog

Have a Family Slumber Party Build a Fort Get out the Family Photo

Album Research your Family History Visit the Genealogical Library Play Stick Ball

Play Hopscotch Have a Family Game Night Have a Pick-Up Party (Clean the House Together!)

Make up a Play Perform it at the Nursing Home

Fly Kites Go on a Family Trip/Historical Excursion

Go Sledding Make a Snowman Make a Family Notebook Fill it with all the things you

Love! Set up a Lemonade Stand Shoot Hoops Together

Play H.O.R.S.E. Draw pictures of the members

of your family. Make copies and turn it into

your family letterhead. Make a Family Calendar Tell Stories Around the Campfire

The BBQ Grill works too! Play a game of Capture the Flag

Make Miniature Boats and float them in the water

Write letters to grandparents or a missionary

Play Freeze Tag

Tell Scary Stories with the lights out using flashlight for a

fun effect

Play Broom Ball Go for a Hike

Go for a Bike Ride Together Go get Ice Cream and walk around the temple grounds

Learn to play the guitar together

Play Musical Chairs Go to a Concert Go for a Bike Ride Take a Penny Hike Go to the Library Go Ice Skating

Go Roller Blading or Roller Skating

Learn how to use a Compass Organize your 72 Hour Kits

Plant some Flowers or a Tree Learn Sign Language Make up your own codes Go Swimming Go Bird Watching Walk the Dog

Go for a drive to the Country Pick Berries, Fruit, or Veggies Bake Something Try a New Recipe Have an Indoor Picnic Go Fishing

Play Touch Football Take Funny Family Photos Plant a Garden

Saturday Check-List Saturday Responsibilities: Whose Responsibility Is It? Complete!

Sunday Clothes . . . Ironed and Ready! Sunday Dinner Menu

Sunday Dinner Grocery Shopping Fill the Cars with Gas

Wash and Vacuum Cars Load Sunday Bag

Read Sunday Lessons Are there any Extra Sunday Meetings? Do We Need Bread for the Sacrament?

Sunday Plans Family Job

Primary Responsibilities Deacon Responsibilities Teacher Responsibilities

Priest Responsibilities Beehive Responsibilities Miamaid Responsibilities

Laurel Responsibilities Relief Society

Elders Quorum High Priest

My Calling - Check List

Extra Reminders!

Ward Temple Night

Our Session Time Is: _______________

Temple Attendance Record



Our Recommends Need to Be Renewed By: ___________________ & ___________________

Our FaMiLy Council Rules Start with Prayer.

Each person will take a turn reading the minutes from the Last Family Council.

Each person will get a chance to be the Leader. One person talks at a time.

Everyone gets a turn to talk. Stick to the business at hand.

Everyone’s ideas are important and worth listening to. NO YELLING . . . Unless there’s a Fire!

NO Arguing. End with a positive comment from each person.

Finish with Prayer!

Our FaMiLy Mission Statement

FaMiLy Council Agenda This Week’s Leader: Opening Prayer: This Week’s Greatest Family Moments: How are we doing as a FaMiLy? Discuss Challenges and Concerns: Our Solutions: Pay Day – Everyone gets their Allowance for the Week! Extra Money Jobs Available – Check the List to see what’s left! This Week’s Wants and Needs: New Chore Assignments for the Week: FaMily Activity Plans: Review FaMiLy Goals: FaMiLy Calendar – Planning and Scheduling: This Week’s BEST Worker Award Goes To: Closing Prayer:

Give Hugs, Kisses, High Fives, Knuckles and Whatever else YOUR FaMiLy does! Today’s FaMiLy Council Date: Next Week’s FaMiLy Council Date: Next Week’s Leader:

T.E.A.M. = Together Everyone Accomplishes More!

Personal Interview Sheets Name: Interview Date: Start with Prayer: Child This Week’s Greatest Moments: LISTEN to any Concerns or Challenges: Brainstorm Together about Possible Solutions: Plan our “MOM & ME ACTIVITY” or our “DAD & ME ACTIVITY” for the Month: Date: Time: Place: Activity: My Personal Goal for the Week: How Can Mom or Dad Help? Update School and Family Calendars: School: How are you doing? Do you need any help with anything? Weekly Rewards and Incentives: Let them know ALL of the great things you saw them doing this week: Closing Prayer: Parent Update your “Here’s What We Did This Month” Journal Pages:

Praise Every Effort . . . Give Hugs, Kisses, Knuckles, and High Fives!

Our FaMiLy Choices and Consequences The choice is yours each day to make . . .

The consequence follows, make no mistake.

Good follows good, my favorite kind . . .

And the same goes for not-so-good, I hope you don’t mind.

So make choices that you can be happy about,

You’re a part of our FaMiLy we couldn’t do without!

Choices Consequences

I _______________________________________________ agree to be accountable for my choices. I understand that my consequence is attached to my choice. Whether it is good or not-so-good,

I accept the responsibility!

Meeting Notes:

My Assignments: To Do List Items: Date Due: Complete:

Monthly Order Forms

For: Ward Food Storage and Relief Society Meeting

Order Form Money

Sunday School Lesson Schedule Week: Lesson: Week: Lesson:

Week One Week Twenty Seven Week Two Week Twenty Eight Week Three Week Twenty Nine Week Four Week Thirty Week Five Week Thirty One Week Six Week Thirty Two Week Seven Week Thirty Three Week Eight Week Thirty Four Week Nine Week Thirty Five Week Ten Week Thirty Six Week Eleven Week Thirty Seven Week Twelve Week Thirty Eight Week Thirteen Week Thirty Nine Week Fourteen Week Forty Week Fifteen Week Forty One Week Sixteen Week Forty Two Week Seventeen Week Forty Three Week Eighteen Week Forty Four Week Nineteen Week Forty Five Week Twenty Week Forty Six Week Twenty One Week Forty Seven Week Twenty Two Week Forty Eight Week Twenty Three Week Forty Nine Week Twenty Four Week Fifty Week Twenty Five Week Fifty One Week Twenty Six Week Fifty Two

Notes:

Relief Society Lesson Schedule Week: Lesson: Week: Lesson:

Week One Week Twenty Seven Week Two Week Twenty Eight Week Three Week Twenty Nine Week Four Week Thirty Week Five Week Thirty One Week Six Week Thirty Two Week Seven Week Thirty Three Week Eight Week Thirty Four Week Nine Week Thirty Five Week Ten Week Thirty Six Week Eleven Week Thirty Seven Week Twelve Week Thirty Eight Week Thirteen Week Thirty Nine Week Fourteen Week Forty Week Fifteen Week Forty One Week Sixteen Week Forty Two Week Seventeen Week Forty Three Week Eighteen Week Forty Four Week Nineteen Week Forty Five Week Twenty Week Forty Six Week Twenty One Week Forty Seven Week Twenty Two Week Forty Eight Week Twenty Three Week Forty Nine Week Twenty Four Week Fifty Week Twenty Five Week Fifty One Week Twenty Six Week Fifty Two

Notes:

Sabbath Day Activities List Write in My Journal Work on Genealogy

Read the Sunday Lessons Read the Scriptures Read the Church Magazines Write Letters to Missionaries

Work on Family History Scrapbooks Go for a Walk Take a Nap Visit the Sick

Visit Grandparents Visit the People at the Nursing Home Work on Faith in God Work on Duty to God

Work on Personal Progress Spend Time with the Family Have Family Council Have Personal Interviews

Write your Testimony Read your Patriarchal Blessing Call or Write a Grandparent Call or Write a Friend

Add your Testimony to a Book of Mormon to Share Listen to Church Music Put together a Sabbath Day Activity Box Play Games with the Family

Review Conference Talks Have a Family Scripture Review - Challenge

I Hope They Call Me On A Mission!

Missionary Addresses Missionary: Address: Email:

Missionary: Address: Email:





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