Family registration
Your Name
Address
Home Phone
Mobile Phone
Email
Days and Times babysitter is required
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Total Hours
No. of Children
Name
Age
Sex
M F
If your child has special needs please list:
Meal preparation required?*
Driving required?
Yes
No
Car required?
Copy this completed form then paste
in an email and send to:
babysittersclub@windowslive.com
Any queries please contact us.