Parent Names *

Mom & Dad, if applicable

First Name

Last Name

First time using The Nanny Company? *

Yes

No

Would you like to book a 1 hour, paid Meet & Play prior to your requested date? *

This provides you and your family with the opportunity to meet the Babysitter prior to the requested shift time.

Yes

No

Birthday *

MM

DD

YYYY

Birthday

MM

DD

YYYY

Birthday

MM

DD

YYYY

Date Requiring Babysitter *

MM

DD

YYYY

Start Time *

Hour

Minute

Second

AM PM

End Time *

Hour

Minute

Second

AM PM

I understand that by submitting this form, The Nanny Company will actively begin searching to fill this position. Should my plans change and I no longer require this booking, I will email casualplacements@thenannycompany.ca as soon as possible. If notice is not provided prior to The Nanny Company confirming placement, I will pay a $30 cancellation fee. If the cancellation is made with less than 24 hours notice, the full invoice will also be charged. *

I agree

Has your family travelled outside of Manitoba in the past 2 weeks? *

Yes

No

Our family is in good health and is showing no signs of illness. *

I agree

Parent Names *

Mom & Dad, if applicable

First Name

Last Name

Child Name *

First Name

Last Name

Child Name

First Name

Last Name

Child Name

First Name

Last Name

Date Requiring Babysitter *

MM

DD

YYYY

Start Time *

Hour

Minute

Second

AM PM

End Time *

Hour

Minute

Second

AM PM

I understand that by submitting this form, The Nanny Company will actively begin searching to fill this position. Should my plans change and I no longer require this booking, I will email casualplacements@thenannycompany.ca as soon as possible. If notice is not provided prior to The Nanny Company confirming placement, I will pay a $30 cancellation fee. If the cancellation is made with less than 24 hours notice, the full invoice will also be charged. *

I agree

Has your family travelled outside of Manitoba in the past 2 weeks? *

Yes

No

Our family is in good health and is showing no signs of illness. *

I agree