Name(s) of Parent(s):

Name (s) and Age(s) of Child (ren):

Email Address:

Phone:

Babysitting Location:

Date and times of Service:

Do you have any cultural or religous practices that we should be aware of?

What kinf of snacks are your children allowed to have?

Please describe your child(ren)'s personalities:

What kinds of games/activities do your children like to play?

Are there rules about screen time?

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

Is there anything that scares your child(ren) we should be aware of?

Are there any unusual habits we should be aware of?

Please describe your bedtime routine.

Please share any additional information to help us provide the best serivce for your child(ren)