Bend Snappy Sitters, LLC - A Central Oregon Childcare Referral Service
Parent Names:
Primary Contact Number:
Secondary Contact Number:
Home Address:
Home Number:
Email Address:
Child's Name:
Child's Birthdate:
Child's Name:
Child's Birthdate:
Child's Name:
Child's Birthdate:
Child's Name:
Child's Birthdate:
When is the best time to reach you?
What do you look for in your babysitter? What are your expectations?
Do any of your children have special needs? Please describe.
Does anyone else live in the home other than the above listed individuals? If so, please indicate name, age, and if they will be in the home while the babysitter would be there:
Does your family have a pet(s)? If so, please describe:
Will babysitter be responsible for any care of the animal while babysitting? If so, please describe:
Please indicate any additional comments, concerns, special situations, or needs regarding your child(ren) that you would like Bend Snappy Sitters, LLC and a potential babysitter to know?
If you are an out of town client, where will you need sitting services? (hotel or other place you will be staying at, please explain).
Please provide two character references that are not related to you...Name, relationship and phone number:
Our Honesty Policy is as follows: Please do not ask a sitter for their contact information so that you can contact them for a job. You may request a specific sitter if you would like the next time you call Bend Snappy Sitters, LLC. We ask that you honor this policy. Bend Snappy Sitters, LLC takes pride in how well screened our sitters are so that we can provide you with the best child care. We hope you understand and respect this request.
I accept the Honesty Policy
Part-Time or Full-Time Childcare Request Form
Name:
Primary Phone Number:
Date you want to begin interviews:
Job start date and end date:
Please describe job requirements (i.e. driving kids, special requests, etc.):
Rate for job (per hour or weekly salary):
Will you notify the childcare providers that you DO NOT choose?:
Yes, I will let them know of my decision myself
No, I would rather you take care of this for me
Do you want to edit the list of providers that can interview?:
No, I will interview all of the sitters
Yes, please send me their resumes
Yes, please let me call them first
Logo of Babysitting service 
 

To learn more, contact Bend Snappy Sitters, LLC today at 541-419-0997
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