Intake Form- Nannies

Child’s Name*

Age of your Child*

Child’s Birthday* We like to send a little Birthday card & treat to your kiddo to celebrate their special day!

Is there a gate code for your neighborhood? If yes, please list. (Please write N/A if not applicable)*

Are you looking for a part-time or full-time nanny?*

Part-Time

Full-Time

What are the days and times you need care for? (Please write N/A if not applicable)*

Start Date*

Are you looking for additional date nights as well? If yes, please list how often. (If your nanny is not available for your date night needs, we have an incredible team of sitters that can assist in your date nights!)*

Are there any additional tasks that you need help with (besides the light tidy that is included in your service, toys, playroom, children's bedroom, children's bathroom, children's dishes, etc.)*

If your nanny is sick- are you comfortable with a last minute replacement (most likely meet them that day) or do you have family that would be able to step in last minute?*

Yes

No

We try our very best to find a last minute replacement, but it is not 100% guaranteed.

Do you have any pets? If so, what animal?*

Is your pet friendly?*

Yes

No

N/A

Will the nanny need to care for your pet during time of service?*

Yes

No

N/A

Are you comfortable with the nanny to drive your children if necessary?*

Yes

No

If driving, do you have a family car that the nanny can use while on shift or will the nannies car be used? If nannies car, you will need to provide car seats if necessary.*

Does your child have any allergies (food, medication, etc.)? If yes, please list.*

Does your child take any medications? Will the nanny be in charge of administering it? Please list dosage and times for medication.*

Emergency Contact: Parents Phone Number (Parent 1- please write name and phone number)*

Emergency Contact: Parents Phone Number (Parent 2- please write name and phone number)*

Emergency Contact- Neighbor or Close Relative. In case sitter can’t get in contact with parents. (Please write relation and phone number)*

What are your child's likes and dislikes? (Favorite food, toys, games, activities, shows, etc.)*

Please let us know any special considerations for your children.*

Family Picture*

Please upload a picture of your family, your sitter will be the only who sees the photo. It will not be shared anywhere else. We want our sitters to feel comfortable just as much as you want your kids to. You will also be sent a picture of your sitter.

Is your sitter allowed to take pictures of your children?*

Yes, and is allowed to be used for marketing on social media

No, pictures are not allowed to be taken

How did you hear about The Sister Sitters?*

Signature*

Reset

Intake Form:

Newsletter