Parent Agreement

Need A Babysitter?

Name

Phone

Address

Reservation Date

Reservation Time

02:30 PM

Please list all allergies (Food, Medication, Insect Bites, Etc) No visitors are allowed in the home except for the babysitter’s, parent(s)/guardian(s), and police or emergency personnel.

Child #1

Child's Full Name

Child's Date of Birth

Child's Age

Child #2

Child's Full Name

Child's Date of Birth

Child's Age

Child #3

Child's Full Name

Child's Date of Birth

Child's Age

Child #4

Child's Full Name

Child's Date of Birth

Child's Age

Child #5

Child's Full Name

Child's Date of Birth

Child's Age

Please describe the Ideal Babysitter for your child/children:

Thanks for submitting!