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Sitter QualificationsSitter Application
 
 

 

NOTE: If you have already filled out this form, you can go here immediately to access our quick Sitter Request Form.

Parents:

Primary Contact
OccupationWork Phone #

Secondary Contact
OccupationWork Phone #

Type of home

Home Address
CityStateZip
Home Phone #Fax #Cell Phone/Pager #
Email

Children:

Name
GenderAgeBirthday

Name
GenderAgeBirthday

Name
GenderAgeBirthday

Name
GenderAgeBirthday

Information:

When is the best time to reach you?

What do you look for in someone who will be caring for your children?
What do you expect from a potential Babysitter?

Do any of your children have special needs?
If so, please describe:

Does anyone else live in the home other than the above listed individuals?
If so, please indicate name, age, and if they will be in the home while the Babysitter would be there:

Does your family have a pet(s)?
If so, please describe:

Will babysitter be responsible for any care of the animal while babysitting?
If so, please describe:

Please indicate any additional comments, concerns, special situations, or needs regarding your child(ren) that you would like While You're Out, LLC and a potential Babysitter to know?

Please list any upcoming dates that you know you will need a Babysitter for:

If needed, would you allow a sitter to bring their own child on a sitting job?

If you are an out of town client, where will you need sitting services? (hotel or other place you will be staying at, please explain).

References:

Please provide two character references that are not related to you:

NamePhone #
Relationship

NamePhone #
Relationship

Other:

How did you hear about us:

Signature:


By checking this box, you agree that the information provided here is accurate to the best of your knowledge.



 

 

Disclaimer: The babysitters affiliated with While You're Out, LLC are employed solely by the client and are not employees of While You're Out, LLC.

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