Babysitting Booking Form
Parents/Booker Details:
Full Name
*
Email
*
Phone
*
Home Address (where care will take place)
Address
Street Address
*
City
*
Postal Code
*
Babysitting Request Details
Date of Babysitting Request
*
Babysitting Start Time
Babysitting End Time
Is this one‑off or recurring?
One-off
Weekly
Ad-hoc / occasional
Purpose of Care
Evening babysitting
Daytime care
Overnight care
Event / special occasion
Other (please specify
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Other (please specify)
Number of children to take care of
Child(ren) Information
Child 1:First Name
Child 1: Age
Child 1: Additional needs / allergies
Child 1: Does your child have routines?
Child 2: First Name
Child 2: Age
Child 2: Additional needs / allergies
Child 2: Does your child have routines?
Child 3: First Name
Child 3: Age
Child 3: Additional needs/ allergies
Child 3: Does your child have routines?
Child 4: First Name
Child 4: Child’s Age
Child 4: Additional needs / allergies
Child 4: Does your child have routines?
Child 5: First Name
Child 5: Age
Child 5: Additional needs / allergies
Child 5: Does your child have routines?
Safeguarding & Home Environment
Will another adult be present?
Yes
No
Are there pets in the home?
Yes
No
If Yes, please specify
Emergency Contact (if different from yourself)
Name
Relationship
Contact Person Phone Number
Babysitting Preferences
Experience with babies
Experience with toddlers
Experience with SEND
Female babysitter preferred
No preference
Have You Used RSS Babysitting Services Before?
Yes
No
Anything else we should know?
Confirmation & Consent
*
I confirm the information is accurate
I understand babysitters are vetted & placements are subject to availability
I agree to RSS terms, safeguarding standards & cancellation policy
🔒
Submit Babysitting Request
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