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

Rows	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?

Will the children be eating with parents?

Other

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?

Other

Is FREE parking provided for babysitters?

Other

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.

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.