Babysitting Intake Form

Babysitting Intake Form

A very detailed form for families to fill out with their information. Ideal for nannies and babysitter's use. Form Preview
Babysitting Intake Form- Template
  • Babysitting Intake Form

    {Your Name/City}
  • Basic Information

  •  -
  •  -
  • Emergency Contact

    If unable to reach primary guardians, who should be contacted?
  •  -
  • Medical Information

    Primary guardians and emergency contact will always be contacted first in case of a medical emergency.
  •  -
  •  -  - Pick a Date
  • Children's Information

  • Infant Information

    (if applicable)
  • Agreement

  • By sumbitting this contract I/we hereby authorize {Your Name} to give consent for all emergency medical and/or surgical treatment that may be required for my/our child/children during my/our absence. {Your Name} agrees to make attempts to contact both legal guardians and the listed emergency contact should a medical emergency arise. I/we understand that I/we assume all financial responsibility for any treatment of injuries sustained to my/our child while he/she is in child care.

  • By sumbitting this form I/we agree to {Your Name}'s booking and cancellation policies. Bookings must be made for a minimum of four hours. Bookings cancelled within 48 hours of the scheduled start time will be subject to a 50% cancellation fee, full hourly payment for half the scheduled hours. Bookings cancelled within 24 hours before the scheduled start time will be subject to a 100% cancellation fee, full hourly payment for all scheduled hours. If booking is cancelled by {Your Name} within 48 hours of scheduled start time, parents are entitled to one free hour of services to be used within 60 days. If booking is cancelled by {Your Name} within 24 hours of scheduled start time, parents are entitled to two free hours of services to be used within 60 days. Exceptions are made for circumstances out of both parties' control;

    death in the family, extreme weather, or sudden illness or injury. In these situations neither party is held responsible for cancellation fees/services. 

  • My signature below affirms that I have read and agree to both the medical consent and release agreement, and the booking and cancellation policy.

  • Clear
  • Should be Empty: