• Nanny Intake Form

    For back up care, date nights, weekends, and overnights.
  • Nanny Request

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  • Basic Information

  • Children's Information

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  • Contact Information

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  • Emergency Contact

    If unable to reach primary guardians, who should be contacted?
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  • Medical Information

    Primary guardians and emergency contact will always be contacted first in case of a medical emergency.
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  • Agreement

  • By submitting this contract I/we hereby authorize Paisley Bedford Parker to give consent for all emergency medical and/or surgical treatment that may be required for my/our child/children during my/our absence. Paisley Bedford Parker agrees to make attempts to contact both legal guardians and the listed emergency contact should a medical emergency arise. I/we understand that I/we assume all financial responsibility for any treatment of injuries sustained to my/our child/children while he/she is in child care.

  • By submitting this form I/we agree to Paisley Bedford Parker's booking and cancellation policies. Booking must be made for a minimum of four hours. Bookings cancelled within 48 hours of the scheduled start time will be subject to a 50% cancellation fee, full hourly payment for half the scheduled hours. Bookings cancelled within 24 hours of the scheduled start time will be subject to a 100% cancellation fee, full hourly payment for all scheduled hours. If booking is cancelled by Paisley Bedford Parker within 48 hours of a scheduled start time, parents are entitled to one free hour of services to be used within 60 days. If booking is cancelled by Paisley Bedford Parker within 24 hours of a scheduled start time, parents are entitled to two free hours of services to be used within 60 days. Exceptions are made for circumstances out of both parties' control; death in the family, extreme weather, or sudden illness or injury. In these situations neither party is held responsible for cancellation fees/services.

  • My signature below affirms that I have read and agree to both the medical consent and release agreement, and the booking and cancellation policy.

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