Babysitter Application Form
Personal Details

Name*:

Fathers occupation:
Address1*: Work No:
Address2: Mobile No:
City*: Nationality:
County: Mother's occupation:
PostCode*: Work No:
Tel*: Mobile:
Email*: Date of birth:    

Household details

Number of adults in the family:    
Number of Children in the family:

Please provide names and Dates of Birth
Boys:
Girls:
Please provide details of domestic animals

How did you hear about JBC?

I agree to the Terms & Conditions of the Agency and confirm that all the information given on this application form is correct.
I understand that the Babysitter can only work until 2am, and I understand that I may need to provide transport to ensure that the Babysitter returns home at the end of the evening. Janet's Babycare will do their best to provide a babysitter within a 10 mile radius to my home.

We will require at least 24 hour notice to secure your babysitter

All bookings will be confirmed by telephone

Date: 05-09-2010 Signed: