Sitters by the Shore

Sitters By The Shore

CHILD CARE

CLIENT- AGENCY AGREEMENT

Contact Name:

Contact Phone:

Referred by:

Address of Sitting:

Parent/Guardian 1:

Home Phone:

Cell Phone:

E-mail:

Address of Sitting:

Parent/Guardian 2:

Home Phone:

Cell Phone:

E-mail:

Address of Sitting:

Sitting Date 1: Times:

Sitting Date 2: Times:

Sitting Date 3: Times:

Sitting Date 4: Times:

Sitting Date 5: Times:

Sitting Date 6: Times

Sitting Date 7: Times

Sitting Date 8: Times

Sitting Date 9: Times

Sitting Date 10: Times

Agency Registration Fee: A non-refundable $35 Registration Fee is billed to your credit card once your specific sitter has been confirmed. The $15 Scheduling Fee will be billed to your credit card once your specific sitter has been confirmed. There is a 3 hour minimum. Sitter’s hourly rates start at $15 an hour (for up to three children) and are paid directly to the sitter by cash or check. Refer to the Service Fee for rates for more than three children.

Requests received with less than 24 hours’ notice will increase from $15 to $20.

Cancellation Policy: If you cancel with less than 24 hours' notice a $20 agency cancellation fee will be charged to your on-file credit card.

Holidays: Sitters classify the following days as holidays and will require a $30 an hour rate:

·  New Year’s Eve

·  New Year’s Day

·  Valentine’s Day

·  Easter

·  Memorial Day

·  Mother’s Day

·  Father’s Day

·  Fourth of July

·  Labor Day

·  Thanksgiving

·  Christmas Eve

·  Christmas Day

Client is responsible for making provisions for meals for the children. Sitters do not expect to eat with children but will graciously accept meals when offered.

Sitters’ gratuities are graciously accepted.

Sitters ByThe Shore strives to provide screened, qualified sitters, but does not guarantee the credentials or performance of any sitter. The agency agrees to provide referral services only, and is not party or bound to any agreements between the Client and Sitter, including but not limited to, work agreements, swimming and driving permissions, the dispensing of medicine or medical care.

I, the undersigned “Client”, understand and agree to the above terms and conditions. I release, discharge and indemnify Sitters By The Shore, their agents, members, employees, contractors from all loss, costs (including attorney fees), expense claims, liability and damage to property or injury to any person including myself (and the children of whom) I am parent or guardian resulting from the use of this child care referral service (and use of any equipment provided, i.e. toys,) regardless of whether they may be wholly or partly negligent, or otherwise at fault. I agree to have my credit card charged accordingly to the billing policies stated above.

PARENT/GUARDIAN SIGNATURE ______DATE ______

______- ______- ______- ______Exp. ______/______

Visa/MasterCard/Discover

Name on Card______CVC Code ______

Street ______

City ______State ______Zip ______

Signature ______Date ______