Babysitter Club Signup Name(Required) First Last Phone(Required)Email(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Date of Birth(Required) Gender(Required)FemaleMaleNon-binaryPrefer not to sayPlease fill in the times on the days you are availableMonday availability Tuesday availability Wednesday availability Thursday availability Friday availability Saturday availability Sunday availability Experience(Required)I have no experience babysitting yetLess than 1 year experience1 - less than 2 years experience2 - less than 5 years experience5+ years experienceWhat do/would you charge as an hourly rate? Have you taken the Babysitting Course through school or elsewhere? Yes No Do you have first aide/CPR? Yes No Special interests, skills, etc? Parent/Guardian InformationParent/Guardian Name(Required) First Last Parent/Guardian Email(Required) Parent/Guardian Phone(Required)Parent/Guardian 2 Name First Last Parent/Guardian 2 Email Parent/Guardian 2 PhoneAny medical issues/allergies we should be aware of? CommentsCAPTCHA
