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Kids Club Babysitting Request Form

Parent 1

*

Parent 2

Address were the babysitter will be working

*

City

*

State

*

Zip Code

*

Location Information – Home info or hotel name, entry instructions, gate/door codes, parking directions, and any important notes

How many children will need care?

*

How many children will need care?

A

1

B

2

C

3

D

4

Child #1 Information

Name

*

Age

*

Last Name

*

DOB

*

Does the child have any special needs?

*

Does the child have any special needs?

A

Yes

B

No

Disabilities or allergies and Special Instructions

*

Do you have pets? If yes, please include type of pet(s), behavior, restrictions, and any special instructions the sitter should know.

How many different days do you need babysitting?

*

How many different days do you need babysitting?

A

1 day

B

2 days

C

3 days

D

3+ days extended schedule

Kids Club Babysitting Request Form

Parent 1

Parent 2

Address were the babysitter will be working

City

State

Zip Code

Location Information – Home info or hotel name, entry instructions, gate/door codes, parking directions, and any important notes

How many children will need care?

Child #1 Information

Name

Age

Last Name

DOB

Does the child have any special needs?

Disabilities or allergies and Special Instructions

Do you have pets? If yes, please include type of pet(s), behavior, restrictions, and any special instructions the sitter should know.

How many different days do you need babysitting?

Day 1 - Booking Details

Date

Start Time

End Time