Babysitting Family Information Form

Family Information Form for Group Babysitting

This ‘Family Information Form’ is used for additional families included in the one Booking and gathers vital information on the family and the care of the children to assist the Nannies on the day.

After a Booking has been made with the Agency, additional family‘s included in the booking will need to complete this form that includes : — routine, dietary restrictions, medical conditions, special requirements and a COVID declaration for the family.

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Family Information Form Babysitting

Date of Babysitting*
DD slash MM slash YYYY
Location of Service*
Family Details
Contact details for the day!
Name*
First Last
Mobile*
Email Address*
Enter Email Confirm Email
Second Contact*
First Last
Mobile*
Children Attending
Add as many rows as required by clicking the "plus" sign.*
Add as many rows as required by clicking the "plus" sign.
Name Age DOB Gender
Health and Wellbeing
Special Requirements*
Any medical conditions / disabilities or special requirements that we should be made aware of ?
- Yes
- No
Medication*
Do the children take any medication?
- Yes
- No
Administer Medication*
Will the Nannies be required to administer this medication?
- Yes
- No
Please download and print the following form: Permission Slip to Administer Medication

Provide your carer with written instructions on the Nannysure Insurance Permission Slip to administer Medication what, when, & how much of this medication is required.
If YES please provide more information
About our Family
Things you should know about my children, what they like to do.
Routine
For young children especially babies please provide your normal routine at home. Nannies will endeavour to follow this on the night for you whilst catering for our clients needs
Put a face to the Family 🙂
Please upload a family photo, we would love to see the face to a name and this will provide our nannies a picture of the families they are catering for on the day.
Max. file size: 32 MB.
Agreement*
By selecting YES and submitting this form you certify that all the information provided are true and correct.
- Yes. I agree.
Name
This field is for validation purposes and should be left unchanged.

Family Information Form for Group Babysitting

Have not made a Booking ?

Family Information Form Babysitting

Family Details

Children Attending

Health and Wellbeing

About our Family

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Name	Age	DOB	Gender