Booking questionnaire and consent form

Date and Time of booking. Please note bookings are provisional until confirmed in writing

Name *

Email address *

Address

Location of booking (if not at home)

What is your child's/childrens name(s)?

What are your childs ages?

Are there any allergies or medical conditions we should be aware of?

GP details

Similarly to any day-care or school, if your child (or another family member in the same household is unwell), We are unable to proceed with the booking. Please inform us by phone (0418840185) if they become unwell on the day of the booking, even at short notice. We understand these things can happen and we would rather know in advance to avoid arriving and potentially spreading anything to other families. Please note that any booking cancelled on the day will incure a 50% charge and any booking cancelled on arrival will be charged at 100%

Please select at least one option.

Accept

First Aid - In the unlikely event it is required, do you consent to the babysitter giving first aid to your child and/or calling 000 in your absence? *If no, we reserves the right to cancel the booking.

Please select at least one option.

Yes

No

Do you consent to the babysitter taking your child/s temperature (under their arm) using an infant (mercury) thermometer, if displaying symptoms of becoming unwell? *Any temperature above 38’c is considered a fever (as per Queensland Children’s Hospital guidelines) and will require you to return to your child as I am unable to administer any medication in your absence

Please select at least one option.

We concent

We do not concent

If your child becomes unwell during the booking and the booking ends prior to the scheduled time, payment will be required to the full booking.

Please select at least one option.

Agreed

What activities does your child enjoy?

How did you hear about the babysitter?

Please select at least one option.

Social media

Word of mouth

Website

Do you require additional services such as sleep coaching or parenting advice?

What is your preferred method of communication?

Which service or services are you interested in?

Please select at least one option.

Personalised babysitting

Qualified sleep consultancy

Emergency babysitting

Additional questions or comments

Please confirm that you are not a robot.

The Babysitter