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Babysitting Request Form

 

Thank you for your interest in our babysitting services! Please complete this form to the best of your ability so we can provide you with a tailored and accurate quote. All information provided will be kept confidential.

 

Parent/Guardian Information

 

First Name

Last Name

Contact Number

Email Address

 

Home Address

 

City

State/Province

Postal/Zip Code

 

Preferred Contact Method

 

Child(ren) Information

 

Please provide the necessary information in the table.

Description

Child 1

Child 2

Child 3

Child 4

A
B
C
D
E
1
Full Name
 
 
 
 
2
Date of Birth
 
 
 
 
3
Age
 
 
 
 
4
Gender
 
 
 
 
5
Any Allergies or Medical Conditions
6
Special Needs or Disabilities
7
Dietary Restrictions or Preferences
8
Child’s Interests/Hobbies
 
 
 
 

For Child 1, please specify any allergies or medical conditions.

 

For Child 2, please specify any allergies or medical conditions.

 

For Child 3, please specify any allergies or medical conditions.

 

For Child 4, please specify any allergies or medical conditions.

 

To ensure we can provide the best possible care for Child 1, please let us know of any special needs or disabilities.

 

To ensure we can provide the best possible care for Child 2, please let us know of any special needs or disabilities.

 

To ensure we can provide the best possible care for Child 3, please let us know of any special needs or disabilities.

 

To ensure we can provide the best possible care for Child 4, please let us know of any special needs or disabilities.

 

Dietary restrictions or preferences for Child 1

 

Dietary restrictions or preferences for Child 2

 

Dietary restrictions or preferences for Child 3

 

Dietary restrictions or preferences for Child 4

 

Babysitting Requirements

 

Type of Service Needed

One-Time Babysitting

Regular/Recurring Babysitting

Overnight Babysitting

Emergency Babysitting

Other:

 

Preferred Start Date

Preferred Days/Times

Weekdays

Weekends

Please indicate your preferred days.

 

Please indicate your preferred times.

 

Type of Service Needed

Parent’s Home

Babysitter’s Home

Other:

 

Transportation Needs

Pickup/Dropoff Required

No Transportation Needed

 

Household Information

 

Pets in the Home

 

If yes, please specify type and number.

 

Smoking in the Household

 

Emergency Contact Name

Emergency Contact Phone Number

Relationship to Child

Additional Notes or Instructions

 

Babysitter Preferences

 

Type of Service Needed

Male

Female

No Preference

 

What language(s) do you prefer?

 

Type of Service Needed

Beginner

Intermediate

Experienced

Specialized (e.g., CPR/First Aid Certified, Special Needs Experience)

 

Any other preferences?

 

Payment and Agreement

 

Budget/Rate Expectations

 

Type of Service Needed

Cash

Bank Transfer

Other:

 

Cancellation Policy Acknowledgment

 

I have read and agree to the cancellation policy.

Additional Terms or Agreements

 

Parent/Guardian Signature

 

I confirm that the information provided above is accurate to the best of my knowledge.

 

Signature

Form Template Insight

Please remove this form template insight section before publishing.


The Babysitting Service Enquiry Form is designed to gather comprehensive information from parents or guardians seeking babysitting services. It ensures that the babysitter or agency has all the necessary details to provide safe, personalized, and high-quality care for the child(ren). Below is an insight into the purpose and importance of each section:


1. Parent/Guardian Information

This section collects basic contact details and preferences for communication. It ensures the babysitter or agency can easily reach the parent/guardian and respond promptly to their enquiry.

  • Why it’s important: Clear communication is essential for scheduling, updates, and emergencies.

2. Child(ren) Information

This section focuses on the child(ren) who will be cared for. It includes details such as age, allergies, medical conditions, dietary restrictions, and interests.

  • Why it’s important: Understanding the child’s needs, preferences, and health conditions ensures their safety and comfort. It also helps the babysitter plan activities that align with the child’s interests.

3. Babysitting Requirements

This section outlines the type of service needed, preferred schedule, and location. It also includes transportation needs and the number of children to be cared for.

  • Why it’s important: This helps the babysitter or agency determine if they can meet the family’s needs and plan accordingly. It also ensures clarity on logistics like timing and location.

4. Household Information

This section provides details about the home environment, such as pets, smoking, and emergency contacts.

  • Why it’s important: Knowing about pets or smoking helps the babysitter prepare for potential allergies or sensitivities. Emergency contacts are critical in case the parent/guardian cannot be reached.

5. Babysitter Preferences

This section allows parents/guardians to specify their preferences for the babysitter, such as gender, language, and experience level.

  • Why it’s important: Matching the family’s preferences with the babysitter’s qualifications ensures a good fit and a positive experience for both the child and the babysitter.

6. Payment and Agreement

This section covers budget expectations, payment methods, and acknowledgment of policies like cancellation.

  • Why it’s important: Clear financial terms and agreements prevent misunderstandings and ensure both parties are on the same page.

7. Parent/Guardian Signature

This section formalizes the enquiry and confirms that the information provided is accurate.

  • Why it’s important: A signature adds accountability and ensures the parent/guardian has reviewed and agreed to the terms.

Key Benefits of the Form

  • Personalized Care: By collecting detailed information about the child(ren), the babysitter can tailor their care to meet individual needs.
  • Safety and Preparedness: Information about allergies, medical conditions, and emergency contacts ensures the babysitter is prepared for any situation.
  • Clear Expectations: The form outlines the family’s requirements and preferences, reducing the risk of miscommunication.
  • Efficiency: Having all the necessary information upfront saves time for both the parent/guardian and the babysitter or agency.
  • Professionalism: A well-structured form reflects the professionalism of the babysitting service and builds trust with clients.

Customization Tips

  • For Agencies: Add a section for the parent/guardian to indicate how they heard about the service (e.g., referral, online search, social media).
  • For Specialized Services: Include additional questions for specific needs, such as overnight care, tutoring, or special needs care.
  • For Digital Use: Convert the form into an online format for easy submission and storage.

This form is a valuable tool for ensuring a smooth and successful babysitting experience for all parties involved.

To configure an element, select it on the form.

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