BL!SS Babysitters Request Form
Please submit your babysitting service request using this form. Once submitted we will finalize your request with an email confirmation including sitter details, bio and payment confirmation. Thank you for choosing BL!SS and supporting our teacher and caregiver community.
Parent's Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Date Requested:
*
Day, month date, year - if you're requesting multiple dates please describe your needs below.
If you're in need of multiple dates, please describe your scheduling needs here.
Consistent Weekly schedules of 8 hours or more are considered part time placements* Weekly hours over 25 hours are considered full time placements.
Time Requested:
*
Include start and end time, include am or pm. ex. 9:00am - 4:00pm
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Children's Information
Name
Age
Allergies
Special Requirements?
Special Interests?
Child 1
Child 2
Child 3
Child 4
Child 5
Preferred Hourly Rate for care
*
$20 - $25
$25 - $30
$30 - $35
Open to sitters request
Driving?
*
No driving required
Driving is required
Only if the sitter wants to adventure!
We have a car for the sitter to use
Please read and check option below:
*
I'm a new BL!SS family! This is my first request
I have a package
I would like to purchase a package
Returning Family, 1 Booking request, please! ($40 value)
BIG NEWS! Join the exclusive list of 300 founding families to have first access to the BL!SS App. Keep in mind, you can always request using the BL!SS website. (Enter EMAIL below if interested)
Subscriptions plans $35.00/month or $400 for the year, includes unlimited sitter requests - limited to only 300 families in Chicago in 2025. Great for last minute bookings and connecting with your favorite team member! Launching the Fall.
BL!SS Payment Options
*
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( X )
Booking Fee
1 BL!SS Booking Request. Booking Fee for daytime, Evening, date nights value, $40.00. Same day request $50.00. This fee will be charged once your sitter is confirmed. Holiday rates may apply.
$
Free
5 Pack - Chicago ONLY
Evening BL!SS Booking Packages as low as $25 per booking.
$
150.00
10 Pack - Chicago ONLY
Evening BL!SS Booking Packages as low as $25 per booking. Only offered for a limited time only!
$
250.00
I have a package!
Select this options if you have already purchased a package and making a request.
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Submit
Should be Empty: