Parent Name:
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First Name
Last Name
Phone Number:
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Area Code
Phone Number
E-mail Address:
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Job Details
What ages are your children?
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Are there any special needs we should be aware of?
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Are your children in diapers or potty trained/currently potty training?
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Have your children ever had a babysitter before?
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What kind of help are you looking for? Please click all that apply.
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Regular weekend/date night babysitter
As needed nighttime babysitter
As needed daytime babysitter
Overnight or travel babysitter
Not sure
Please give a brief description of your family and let us know if you have pets:
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Describe your ideal babysitter. What kind of qualities should she have?
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What hourly rate would you pay your babysitter? Please note our babysitters charge $17-22 per hour on average.
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How did you hear about us?
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Submit Application
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