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Nannies
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sitter connection Membership request
Form is to be used for Annual Membership Application.
*= required
Basic information
Name
*
First Name
Last Name
Cell Phone #
*
(###)
###
####
Landline Phone #
(###)
###
####
Occupation
Email
*
Parent's Name
Parent's Occupation
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Child #1
Name
First Name
Last Name
Age
Gender
Child #2
Name
First Name
Last Name
Age
Gender
Child #3
Name
First Name
Last Name
Age
Gender
Child #4
Name
Age
Gender
Child #5
Name
Age
Gender
Misc.
Is the sitter 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 your family:
Please describe your family's favorite interests or hobbies:
Where did you hear about Vermont Nanny Connection?
*
Terms & Conditions
You recognize that submitting this application is giving permission for Vermont Nanny Connection to confirm a sitter for your family
*
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 $25/sitter/day, depending on location.
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. If you cancel within 24 hours, you owe their hourly rate for the full time they were confirmed for.
Confirm that you have read and accept the above terms and conditions by typing, "I ACCEPT" in the box provided below.
*
Thank you!