My Boulder Babysitter - Family Application

(This form can be completed quickly and easily from a computer or laptop)

1. Fill out the application form.

2. Request Site Membership:
www.myboulderbabysitter.com/membership

NEXT STEPS:

3. Complete the Online Registration Packet.

4. Schedule a Home Evaluation
(Note: All interviews are currently virtual.)

5. Access our online booking site to instantly choose and book a babysitter from our team!
We book quickly, so please start your application process as soon as possible.

Important:
Please ensure all the information provided is accurate, especially your email and childcare addresses, so we can offer the best care possible!

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Parent #1 First Name *
Parent #1 Last Name *
Parent # 1 E-mail *
Parent #1 Permanent Address (include City/State/Zip) *
Parent #1 Cell Phone: *
Home Phone:
Parent #2 First Name:
Parent #2 Last Name:
Parent # 2 E-mail Address
Parent #2 Permanent Address (if different):
Parent #2 Cell Phone:
Childcare Address (if different):
Please list the ages of your children here: *
Let us know about your pets... *
Required
Do any of your children have allergies of any kind? *
if so, please list and explain in detail - if you answer yes, please look for a follow up allergy form
Do any of your children have any diagnosed or un-diagnosed physical/mental health concerns OR exhibit ANY violent or aggressive behavior including hitting / biting / yelling from time to time? *
your honesty helps us do our best job caring for your child
Do you practice any specific parenting methods (i.e. Attachment Parenting, Co-Sleeping/Bedding, RIE, Respectful Parenting, Free-Range, EC, extended breastfeeding, Love & Logic, etc) *
your honesty helps us do our best job caring for your child
Will you ever need us to drive your children in our  vehicles? *
(i.e. school pick ups/drop offs, driving to activities, appointments)
Will you ever want us to drive your kids in our vehicles? (i.e. to libraries, new playgrounds, meals/snacks out of the house, etc.) *
Would you consider your home to be a safe, healthy, and clean environment for a babysitter? Homes with pet odor, dander, hair, mold, hoarding/extreme disorganization, non secure drugs/alcohol/weapons will be denied service with no refund. *
How often do you think you'll use our service? *
click all that apply  .... please keep in mind that we book up on a first come first serve basis and are in high demand. limit to number of bookings per month based on membership plan.
Required
What are you hoping to accomplish while one of our amazing team of babysitters care for your child(ren)? *
click all that apply
Required
How did you hear about us? *
Required
Who referred you to us? we will give that family a 10% discount off their next appointment once you've completed registration!
Approximately how many different babysitters has your family hired in the past (or currently in the rotation)? *
Have you worked with an agency/service before to find childcare? *
What have you loved about your past childcare providers? *
Have you had any concerns or incidents with past childcare providers? If yes, please explain so we can help provide the best care for your family! *
What are you expecting from our babysitters?
Next Steps: *
Required
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