Event Host Childcare Request

Host Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Type of Event*
Event Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Childcare Schedule*
Who is the Point of Contact on the day of the event?*

First NameLast Name
Point of Contact Phone Number*

Area CodePhone Number
Point of Contact Email*
example@example.com
Approximate Number of Children*
Age Range of Children*

Number of Children in Age Categories*

	Estimate # of children in each category
0-11 months old
1-2 years
3-5 years
6-9 years
10+

Where will babysitter be providing childcare?*

Separate room on-siteDesignated area on-siteAs needed on-siteAirBnb or houseOther
Will the children be eating with parents?*

Food will be served to children in a designated areaChildren will be eating with parentsFood will not be servedOther
Please list any known allergies.
If this information is not available at this time, please update Bliss Babysitters prior to the event.
Will food be provided for babysitters?*

YesNoOther
Is FREE parking provided for babysitters?*

YesNoOther
Please describe the parking at the event space.*
Please describe what you envision in order to have the most blissful event and occasion.*
Please choose the best fit scenario based on the number of kids you anticipate at your event. This gives you the starting prices for the event. A more detailed quote will be sent within 48 hours of receiving the request form.*

1-5 kids (Staring at $500 dependent on number of children and ages)6-10 kids (starting at $1000 - $1500 includes booking fee + 2-3 sitters hourly rate based on the kids ages.)10+ kids ( $1500+ Booking fee may vary based on events needs + sitters hourly rate)
How did you hear about our services?*
If applicable please name the person that introduced you to bliss!
Terms & Agreements

This form is not a confirmation of booking. Once we receive your request, we'll contact you directly within 24 hours to confirm details and begin finding the right sitters for your event.

Once confirmed, all Events cancellation details regarding out refund policy will be detailed on your quote and invoice.

By submitting this form your consent to sharing your event details within the Bliss network.
By selecting below, you acknowledge that you have read our terms and agreements.

I have read and understand the terms and agreements.
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