How did you hear about us?
Homeowner's Information
Owner 1 Name
First Name
Last Name
E-mail
Home Address
Home Phone
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Area Code
Phone Number
Cell Phone
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Area Code
Phone Number
Owner 2 Name
First Name
Last Name
Cell Phone
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Area Code
Phone Number
Emergency Information
Emergency Contact (name and phone)
Neighbor (name and phone)
Local Police Department Phone
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Area Code
Phone Number
Local Fire Department Phone
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Area Code
Phone Number
Fire Extinguisher is located
Info for Sitter
Any plants that need to be watered?
Any specific parts of the house that need to be checked on frequently?
Are you expecting any special mail or packages?
Are you expecting any visitors?
Any special gate codes or security alarm codes?
Please discuss with the sitter in advance.
Where is your security alarm located?
Electronic Signature
By typing my name and initials below, I certify that I have read, agree with, and am committed to adhering to the Terms of Service Agreement provided at the bottom of this form. I also certify that all the information provided is correct to the best of my knowledge. Any additional information will be discussed with the sitter.
Full Name
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Initials (to serve as electronic signature)
*
Submit
Terms of Service Agreement
Terms of Service Agreement: By using services rendered through Executive Sitters, LLC, I understand and agree to the following guidelines: 1. I understand that sitters are independent contractors, not employees, therefore Executive Sitters is NOT responsible or liable for the sitter’s behavior at anytime. I understand that Executive Sitters is not responsible for situations that may occur while an independent contractor is in my home. 2. If I choose to allow an independent contractor to drive my children, I will NOT hold Executive Sitters responsible in the unlikely event that an accident occurs. 3. I will treat the independent contractors with dignity and respect at all times. 4. I will pay the agreed upon rate to the independent contractor that is stated on the website. 5. I will call/e-mail at least 24-hours before a scheduled job if I need to cancel. If I cancel with less than 24 hours remaining, there will be a $10 charge to be given to the independent contractors to compensate him/her for the time that he/she had committed. This fee may be waived by Executive Sitters depending upon the circumstances. 6. If I am dissatisfied with the performance of an independent contractor, I will first discuss it directly with him/her. I can request an evaluation form from the owner of Executive Sitters. If an independent contractor gets 2 negative evaluations, he/she will no longer be associated with Executive Sitters. 7. I understand that the success of Executive Sitters is based upon using the services rendered honestly and appropriately, therefore I will NOT share independent contractor contact information with others. 8. I will NOT contact the independent contractor for future babysitting needs on my own. I understand that he/she can only be booked through the Executive Sitters site. My electronic signature verifies that I have read, agree with, and am committed to adhering to each of the above guidelines. Failure to do so will result in my being unable to use Executive Sitters in the future and may result in a breach of contract claim against client.
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