Event Registration 2 Form

About the Event

Name of Location

No abbreviations please

Address of Event *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Room Number?

SCHEDULE

To ensure the proper care and safety of the children, please do not schedule one Nanny for more than fifty (50) hours in seven (7) consecutive days or for more than twelve (12) hours a day. If more than One Nanny is needed, there may be an additional cost.

Start Date of the Event *

Date

End Date of the Event (Optional)

Date

Start Time for Nanny *

: Hour Minutes AM/PM Option

End Time for Nanny *

: Hour Minutes AM/PM Option

Amount You Will Pay Per Hour (this is in addition to the recruitment fee) *

$20 $22 $25 $30

Will You Be Reimbursing Nannies for Parking? (if applicable)

Yes No N/A

How Much Will You Be Reimbursing for Parking? (Required for Corporate Events)

Form of Payment to Nanny

Paid on the day of (Corporate Events AND Parents) Mailed Check (Corporate Events Only)

Will the Nanny Be Driving the Kids?

Yes No

Pets at Event (multiple choice ok)

Cat Dog Other Animal Known to Create an Allergic Reaction

Additional Information/Details (Optional)

Completing this form gives The Elite Nanny Team authorization to have a nanny contact you using the phone number provided to establish rapport and organize meeting details, as needed. Your contact information will be shared with the Nanny chosen for your event once TENT's fees have been collected in full.

By submitting this form, you agree to be legally responsible for paying the Nanny directly for the schedule and hourly amount indicated above.

Cost of $75 per nanny, per day, plus PayPal fees

USD Description

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.