Form cover
Page 1 of 2

Bloom Babysitter Booking Request

Tell us what you need and we’ll take care of the rest! Once the form is submitted, we will do our best to match you with a babysitter. Please remember, your booking is not confirmed until you get a response from Bloom Babysitting confirming that you have been matched to a babysitter.

Parent/Guardian Details

Parent/guardian full name

Mobile number

Email address

Booking Details

Date babysitter is required

Start time

Expected finish time

Full babysitting address

Suburb and postcode

Children

Number of children

Child 1: Name and age

Important Information

Is there anything important our babysitter should know about your child/children?
Examples: allergies, medical considerations, additional needs, routines, behavioural considerations or anything else.

Emergency Contact

Emergency contact full name

Emergency contact mobile number

Relationship to child/children

Babysitter Preferences

Do you have a preferred BLOOM babysitter?

A
B
Note: Preferred babysitters are subject to availability and cannot be guaranteed.

Is there anything else you would like us to consider when matching you with a babysitter?

Additional Booking Notes

Confirmation