Moms Need Help Too LLC, Mommy Concierge & Child Care Services Consent Form
This form contains Terms of Agreement and forms a binding contract submitted.We acknowledge that we have read the terms of agreement and consent to the same and warrant the information set is correct.
Client Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you have any pets? Yes or No? If so, pls list how many and breed.
*
Number of children and ages
*
What will be the Sitter/ Nanny's duties? What does your family need assistance with other than caring for your child(ren)?
*
What days and hours are needed for care?
*
How long will services be needed?
*
Are you seeking a Vaxxed Caregiver?
*
Yes
No
Would be nice, however not mandatory
How soon do you need the caregiver to start?
*
By checking the boxes, you confirm that you agree with the following statements:
*
I understand/ agree that Moms Need Help Too is only a platform to connect Sitters/ Nannies to Client (Family) who are in need of childcare services only.
I understand/ agree to remain professional at all times during the service relationship received by the Sitter/ Nanny.
I understand/ agree to waive Moms Need Help Too from all responsibility with the process and services received.
I understand/ agree to the $199/ yr membership to Moms Need Help Too platform until advised that no longer interested. I also understand/ agree No Refunds will be given.
I understand/ agree all transactions including financial transactions are solely between the Client (family) and the Sitter/ Nanny.
By signing below
, I
confirm
that I
understand
and
agree
to all terms and statements in this form.
Parent/Guardian Name (if applicable)
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Client/Parent/Guardian Signature
*
We Look Forward to Assisting Your Family :)
Should be Empty: