Submit
Service Offered
*As Needed Babysitter (Appt, Date Night, Ect.)
*As Needed Babysitter (Wedding, Hotel Or Cooperate Event)
*Short Term Nanny (Less Than 6 Months)
*Long Term Nanny (A Year Or More)
*Household Manager (Less Than 6 Months)
*Household Manager (A Year Or More)
*Party Helper *Tutor
*Please List All Services Requested Below*
Client's First and Last Name
Client's Spouse/Significant Other
First and Last Name
Occupation
Occupation
Cell Phone
Cell Phone
Email Address
Email Address
Home Address
Home Phone Number
Preferred Method of Contact
Emergency Contact
Dependent(s)
Dependent(s) Needs
Important Provider Characteristics
Pets in the Home
Will Anyone Be Present During Care?
*For Hotel Babysitters, Cooperate Events or Weddings Only*
How did you hear about Practically Perfect Children's Services LLC?
Membership & Client Service Fees Understanding and Release:
Work Phone Inc. Ext.
Work Phone Inc. Ext.
Place of Employment
Place of Employment
1. Practically Perfect Children’s Services LLC agrees to make its best effort to arrange as-needed babysitter providers (appointments, date night, hotel care, weddings, corporate events, etc) upon request by the below
signed party (“client”).
3. Practically Perfect Children’s Services LLC Fees For On Call Babysitters, Hotel or Corporate Babysitters, Tutors, and Party Helpers
- $100 Annual Membership; Non- Membership Option Available
- $25 a day for On Call Babysitters, Hotel or Corporate Babysitters, Tutors, and Party Helpers for Membership Clients $50 a day for On Call Babysitters, Hotel or Corporate Babysitters, Tutors, and Party Helpers for Non-Membership Clients
- $50 a day for all Federal Holidays, Christmas Eve, New Year's Eve, and Easter regardless of membership status
- $10 Surcharge to Practically Perfect Children’s Services LLC for sick care, same day requests, and requests made after 5 PM for next day care
4. Failure to pay your caregiver directly at the end of the assignment will result in Practically Perfect Children’s Services LLC charging your card for the sitter's compensation as well processing charge of $25 for making the sitter payment.
5. The client's credit card will be charged a set up fee by Practically Perfect Children’s Services LLC following a confirmation call/email to the client for the visit. This fee covers the agency's work in setting up the visit and is non refundable.
6. Cancellation Policy for As Needed Babysitters or Tutor- If a client cancels a confirmed reservation, 24 hours notice is required for caregiver cancellation or client will be responsible for paying the caregiver fee (4-hour minimum). Clients who to fail to pay the caregiver will be charged the caregiver fee (4-hour minimum) plus a $25 processing fee.
7. Client understands that a caregiver may not take children off of the hotel premises without written permission from the parents.
10. SWIMMING POOL RELEASE:
Client understands that any swimming pool is completely off limits with a Practically Perfect Children’s Services LLC provider. Providers may not take client’s children into the swimming pool without prior written consent.
I hereby give consent for a Practically Perfect Children's Services LLC provider, whom I have hired for care my child/children, to allow my child/children access to a pool. I understand that Practically Perfect Children's Services LLC providers are not medically trained and are not certified lifeguards. I hereby release, discharge and hold harmless Practically Perfect Children's Services LLC, its employees, agents, and officers from any and all claims relating to any events that may occur during the use of the pool.
Client understands that any swimming pool is completely off limits with a Practically Perfect Children’s Services LLC provider. Providers may not take client’s children into the swimming pool without prior written consent.
I hereby give consent for a Practically Perfect Children's Services LLC provider, whom I have hired for care my child/children, to allow my child/children access to a pool. I understand that Practically Perfect Children's Services LLC providers are not medically trained and are not certified lifeguards. I hereby release, discharge and hold harmless Practically Perfect Children's Services LLC, its employees, agents, and officers from any and all claims relating to any events that may occur during the use of the pool.
11. TRANSPORTATION RELEASE:
I hereby give my consent for a Practically Perfect Children's Services LLC to provide transportation for my child/children in their or my automobile. I agree to pay a gas stipend if distance driven exceeds 5 miles. I understand that providers with Practically Perfect Children's Services LLC are not employees of Perfect Children's Services LLC and that Practically Perfect Children's Services LLC is making no representation or warranties to the provider's suitability to transport my child/children. Practically Perfect Children's Services LLC is in no way responsible for the safety of my child/children while being transported in provider's or my family’s automobile. I agree to indemnify, release and hold harmless Practically Perfect Children's Services LLC, its agents, employees and officers for any and all claims including injury to client’s car or child/children while being transported by a Practically Perfect Children's Services LLC provider.
I hereby give my consent for a Practically Perfect Children's Services LLC to provide transportation for my child/children in their or my automobile. I agree to pay a gas stipend if distance driven exceeds 5 miles. I understand that providers with Practically Perfect Children's Services LLC are not employees of Perfect Children's Services LLC and that Practically Perfect Children's Services LLC is making no representation or warranties to the provider's suitability to transport my child/children. Practically Perfect Children's Services LLC is in no way responsible for the safety of my child/children while being transported in provider's or my family’s automobile. I agree to indemnify, release and hold harmless Practically Perfect Children's Services LLC, its agents, employees and officers for any and all claims including injury to client’s car or child/children while being transported by a Practically Perfect Children's Services LLC provider.
8. Client understands that the services provided by all Practically Perfect Children’s Services LLC Caregivers must be contracted through the Practically Perfect Children’s Services LLC office. Client further understands that the use of a caregiver introduced to you through Practically Perfect Children’s Services LLC or any of its caregivers or the referral of a Practically Perfect Children’s Services LLC Caregiver to a third party, without arranging the visit through Practically Perfect Children’s Services LLC, is considered “theft of services” and will result in a charge of $2,500 in liquidated damages.
9. Practically Perfect Children's Services LLC will contact you for payment information. By providing your credit card information, you authorize Practically Perfect Children's Services LLC to charge all fees associated with services provided by Practically Perfect Children's Services LLC. Please note we accept Visa, Mastercard, Discover, and Amex.
12.MEDICATION RELEASE:
I hereby give consent for a Practically Perfect Children's Services LLC provider, whom I have hired to care my child/children, to administer medication. I understand that Practically Perfect Children's Services LLC caregivers are not medically trained. I hereby release, discharge and hold harmless Practically Perfect Children's Services LLC, its employees, agents, and officers from any and all claims relating to the dispensing and administering of medication.
I hereby give consent for a Practically Perfect Children's Services LLC provider, whom I have hired to care my child/children, to administer medication. I understand that Practically Perfect Children's Services LLC caregivers are not medically trained. I hereby release, discharge and hold harmless Practically Perfect Children's Services LLC, its employees, agents, and officers from any and all claims relating to the dispensing and administering of medication.
13. Online job requests require a minimum of 12 hours notice. Practically Perfect Children's Services LLC will do its best to fulfil last minute request as soon as possible.
I READ, UNDERSTAND AND AGREE TO THE TERMS OF THE AGREEMENT.
When the form is complete, please click submit below.
2. Caregiver Fees (Pay Caregiver Directly)
*Time and a 1/2 is paid to Providers for all Federal Holidays, Christmas Eve, New Year’s Eve, and Easter
- On Call Babysitter $18 Per Hour (1-2 Children) $2Additional Per Hour (3 or More Children) 4 hour minimum (8 hour minimum for overnight) Valet Parking Cost paid directly to care giver
- Hotel or Corporate Babysitter $18 Per Hour (1-2 Children) $2Additional Per Hour (3 or More Children) 4 hour minimum (8 hour minimum for overnight) Valet Parking Cost paid directly to care giver
- Tutor $20 Per Hour (Per Child) Membership Required
- Party Helper $18 Per Hour 4 hour minimum
*Time and a 1/2 is paid to Providers for all Federal Holidays, Christmas Eve, New Year’s Eve, and Easter
Office Hours:
Mon-Friday 8AM-6PM
631-840-7520
info@practicallyperfectchildren.com
Thank you! Your New Client Registration Form has been submitted. We absolutely can not wait to get to know you better and look forward to working with your family. We will be in touch as soon as possible.
