Mobile Childcare Inquiry Form
In need of a member of our mobile childcare services to come to you?!

We offer Occasional and Date Night Services & Nanny for your children to make providing care and lasting experiences for your family a little easier. Have Kreative Kidz NC provide you peace of mind, by allowing a sitter to come to you!

A breakdown of our Mobile Services:

Occasional & Date Night Services- Sitter comes to your home to provide less than 10 hours per week of childcare.

Nanny Services- Nanny comes to your home to provide 10 or more hours per week of childcare.

Over Night Services- Sitter or Nanny provides care in your home between the hours of 10PM-8AM.

Fill out the information below and we will be in touch with you via email in at least 48 hours. If your need is needed before that timeframe, please contact us at 984-244-2373 via text or phone call.
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Email *
Service(s) Requested: *
Required
Start Date of Service Needed *
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End Date of Service Needed *
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Parent(s) Name: *
Parent(s) Phone Number *
Home Address *
Child(s) Name *
Child's DOB *
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Gender
Clear selection
Child's Developmental Needs: *
Child's favorite activities, special music, foods, etc.: *
Please inform us of any routine you have for your child during the time of this service request: *
Child's Allergies *
How many days and hours are you looking for care. ( Please be as specific as possible.) *
Family Budget for Nanny Service Needs (over 26 hours per week)
Pets? *
If Yes, Please Specify:
Emergency Contact: *
Additional Information that we need to know:
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