Babysitting Registration Form

Please complete the registration form if you wish register with Holly's House evening babysitting service.

Personal Details

Title: *

Surname: *

Forename(s): *

Address: *

Town / City: *

Postcode: *

Email Address: *

Home Phone Number:

Mobile Number:

Children's Details

Name of Child 1: *

Age of Child 1: *

Sex of Child 1: *

Name of Child 2:

Age of Child 2:

Sex of Child 2:

Name of Child 3:

Age of Child 3:

Sex of Child 3:

Does your child(ren) have any medical conditions:

If yes please be as specific as possible

Further Information:

Please supply any further information about your child(ren) that you feel is relevant to your registration

Babysitter Requirements

Approx how often would you require a babysitter?:

When would you nornally require a babysitter?:

Do you require a non smoker?:

Babysitting Membership

Please select your babysitting membership choice: *

Other Information

Where did you hear about Holly's House?: *

Agreement

I agree to the following statement: *

I certify that the information I have submitted is true and correct to the best of my knowledge

I have read and accept the evening babysitting service terms and conditions.

I agree to apy the babysitter in full at the end of the evening

I understand this is an evening service only i.e. operates after 6.30pm

I understand that Holly's House cannot guarantee to find a babysitter for every date requested, although all efforst will be made to do so, no refund will be made if this occurs

If I cancel a confirmed babysitter with less that 24 hours notice I will be charge a cancellation fee of £15