Intake form

If this is your first time booking me as your babysitter, please fill out the intake form on this page.

I keep this information handy when babysitting to maintain safety and peace of mind.

After the intake form is completed (or if I have babysat for your family before), you can request a date and time for babysitting using "Book Me" form.

Intake Form

Intake Form - for first time clients

Parent / Guardian's name(s)
Email Address
Phone Number
What is your home address
*
- Street Address
- Address Line 2
- City
- State / Province / Region
- Postal / Zip Code
- Country
What is the name and age of your first child?
*
What is the name and age of your second child?
What is the name and age of your third child?
Does your child have any needs or medications that I should be aware of?
*
Does your child have allergies? If yes, what are the allergies and how do you treat them?
*
Where do you keep the First Aid supplies?
*
Are there any household rules I should be aware of? (screen time, devices, shoes off inside)
*
If you have pets, are they friendly? Will I need to care for them? If so, what are the care instructions?
What is the child's bedtime routine? If I will need to help them get ready for bed.
Anything else I should know?

Intake Form

Intake Form - for first time clients

Email: camrynmckeachie@gmail.com

Phone: 250-220-3373