Sitter Connection Application

*Required

Basic

*Name:

*Cell Phone #:

Land Phone #:

Occupation:

*E-Mail Address:

Spouse’s Name:

Spouse’s Occupation:

Address

Address:

Apartment #:

City:

State:

Zip Code:

Children

Child #1

*Name of Child 1:

*Age of Child 1:

*Gender of Child 1:

Child #2

Name of Child 2:

Age of Child 2:

Gender of Child 2:

Child #3

Name of Child 3:

Age of Child 3:

Gender of Child 3:

Child #4

Name of Child 4:

Age of Child 4:

Gender of Child 4:

Child #5

Name of Child 5:

Age of Child 5:

Gender of Child 5:

Misc.

Is the nanny required to have a car?

Do you have any additional information or comments that will help us make the most compatible match for you and the caregiver?

Briefly describe the personality of you and your spouse:

Please describe your family’s favorite interests or hobbies:

Where did you hear about us?

Terms and Conditions

Once your sitter has been confirmed, the agency fee is due. If you cancel your sitter at any point after confirmation, you still owe the agency fee of $20/sitter/day.
If you cancel your confirmed sitter within 48 hours of their scheduled arrival, you are required to pay half of their hourly rate for the time they reserved for you.

*Confirm that you have read and accept the above Terms and Conditions by typing “I accept”: