Vacation Babysitting Service

Registration Form

Date and Time Sitter is Needed: 1st: 2nd: 3rd: 4th: 5th: 6th: 7th:

Mothers Name: Fathers Name:

Home Address: City, St, Zip:

Home Phone: Fax: Moms Cell: Dads Cell:

Email address:

Local Address where you will be staying:

        Emergency Contact: Number:

        Doctors Name: Number:

        Preferred Hospital: Number:

Children:

1. Name:  F  M   DOB:   Age:

2. Name:  F  M   DOB:   Age:

3. Name:  F  M   DOB:   Age:

4. Name:   F  M  DOB:   Age:

Do any of the children have Allergies or Special Needs? Please explain:

**Please remember that Sitters DO NOT administer Medications!**

Please list special instructions the sitter should know:

Nap/Bed Times:

Special Activities Allowed:

Activities NOT allowed:

Any Household Pets? Please List:

Tell us about your Ideal Sitter:

Is the sitter allowed to order room service?  Yes  No

Total allowed to order for Children? Allowed for Sitter?

This total should include Tax and Tip.

**Please be aware that you are responsible for Valet Parking costs incurred by your sitter.**

Please read the following terms:

The following is a contract entered into on thisday of , 2008 by the family, from hereon in referred to as family, and Loving Arms, LLC to find a sitter for their stay in the Sarasota/Manatee County area.  The family hereby understands that the referred sitters are not employees, agents or partners of Loving Arms, LLC as a corporation.

The family has agreed to pay a nonrefundable $20 registration fee for the first reserved date and $10 for each additional date to reserve a sitter (or sitters) for the dates and times specified on page one.  If you require the on-going services of a babysitter more for than 10 hours per week for more than 14 days, please ask about our temporary nanny service. All reservations made with less than a 24 hour notice will be considered Emergency Reservations and will result in a $15 Emergency Reservation fee in addition to the fees listed above. In the event that the reserved sitter is unavailable for the dates and hours specified at the last minute due to unforeseen events, Loving Arms, LLC will do everything in it’s power to find a suitable replacement, it does not guarantee that a replacement will be found and will not refund the registration fee, but will credit the family for the next visit. Loving Arms, LLC will contact the family as quickly as possible to notify the family of the sitters’ name.  The sitter will contact the family at the given number to confirm times and directions.  Please give a valid number on this contact for the sitter to contact you. If you have not received this information at least 24 hours in advance (for advanced reservations), please contact us as quickly as possible to confirm your sitter.

Times and Fees: There is a four hour minimum for all sitter services. Please be respectful of the sitters’ willingness to travel to your location to provide excellent care for your children. Fees are as follows: $12 per hour for the first child, $2.00 extra per hour for each additional child. So if you have three children, the hourly rate will be $16 per hour. Gratuities are appreciated. If the sitter has to travel more than 10 miles from home to your location a gas surcharge of $8.00 per day will be due. If you have the sitter drive your child to an activity, there is a $10 gas fee. If your babysitter does not receive payment at time of service, you hereby authorize Loving Arms, LLC to charge the credit card listed on the first page of this registration form for the above listed fees for the number of hours service was provided.  A service fee of $10 will be added to this charge.  Holiday pay is time and a half. Our Holidays are: New Years Day, Memorial Day, 4^th of July, Labor Day, Thanksgiving Day, Christmas Eve. New Years Eve and Christmas Day are paid double time.

Cancellation policy:  All cancellations must be made at least 24 hours prior to start time if the sitter is booked in advance.  A $50 fee will be charged to the credit card listed on the first page of this application if you cancel with less than 24 hours notice.  If you booked your sitter with less than 24 hour notice but more than 3 hours notice, a two hour cancellation notice must be given or a $50 cancellation fee will be charged. A service fee of $10 will be added to this charge.

Medical Care: The family hereby understands that any sitter referred to them by Loving Arms, LLC is NOT in any manner allowed to provide medical care or administer any medications.  If, in an emergency, the sitter is required to use techniques learned in CPR/FIRST AID, the family agrees to indemnify and hold harmless the Sitter and Loving Arms, LLC from any and all claims that may arise from such care.  If these efforts of care are unsuccessful and the parents are not able to be located the parents give consent for the sitter to contact emergency services (911).

Exclusivity:  The family understands that they do not reserve the right to use any sitter referred by Loving Arms, LLC on any exclusive or ongoing basis.  This contract and registration fee is for the one time term of the times and dates stated on page one of this contract. If any family wishes to retain a sitter exclusively, a one time hire away fee of $1000 will be due and payable prior to any commencement of services by the sitter. This family further agrees not to contact this sitter during their next visit to commence further babysitting activities without contacting Loving Arms, LLC and paying the appropriate fees.

Please initial here that you have read and agree to the above terms:

Please print this page for your records. We will contact you to reserve your sitter and for payment. We only accept Visa or Master Card for the above registration fees. Sitters can be paid in Cash or by Check.