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Applications > Temporary/ Newborn Overnight Family Application ( for Full Time Placement Application Click Here - Part Time Click Here )
 
Temporary/Newborn Overnight Placement

For Placement Fee Information - > Click Here <

Prospective Families for Temporary/ Newborn Overnight Placement:
Please fill out the following application. Use the tab key or mouse to move between fields.

Application Date: 
PARENT RELATED INFORMATION
Parent 1 Name:
 Parent 2 Name: 
Parent 1   Street Address:
 Parent 2   Street Address:
Parent 1 City or Town:

 State:  Zip:  		Parent 2 City or Town:

State:  Zip: 
Parent 1 Home Phone Number:
Parent 2 Home Phone Number:
Parent 1 Cell Phone Number:
Parent 2 Cell  Phone Number:
Preferred Contact Number: Parent 1Cell Parent 1 Home
Parent 2 Cell Parent 2 Home
Parent 1 Email:
 Parent 2 Email:
Parent 1 Occupation:
 Parent 2 Occupation:
Parent 1 Business Telephone:
 Parent 2 Business Telephone:
CHILD RELATED INFORMATION
Children living in your home:

Name Age Sex Birthdate School Hours
Do you have any pets? If yes, for what part of their care is the nanny responsible?
Do you have any restrictions or special considerations for the nanny?
Emergency contact
Please list credit card type and expiration date and your name as it appears on the credit card.
The Boston Nanny Centre accepts VISA and MASTERCARD only

 

Agreement
I agree to pay for all temporary referral fees on credit card basis with the credit card number I have called into the Boston Nanny Centre (1-800-456-2669). I give Boston Nanny Centre authorization to make charges to my credit card for the purposes of payment for temporary nanny referral fees, unless alternative written arrangements have been made and agreed upon by the Boston Nanny Centre staff. I also understand that temporary referral fees are charged based on the referral at the time of said referral. Therefore I will be charged if I make a temporary request and subsequently cancel the request after the agency has filled said request. I also understand that there is a no refund policy. I agree to pay the childcare provider directly in full at the end of each day. If I fail to do so, I authorize the agency to charge my credit card at the end of the assignment for monies due to the childcare provider.

Nanny Compensation Schedule
The nanny is paid daily by the client for each hour worked according to the following suggested pay scale range:
Nanny Hourly Rate: $15-20/hr, depending on experience
Nanny Overnight Rate: $75-100, depending on experience
Nanny Newborn Overnight Rate: $18+/hr, depending on experience and number of children

 

Note: No taxes need to be paid for any amount earned by a single employer that is under $600.00/yr.

I understand that the childcare workers referred by the Boston Nanny Centre for temporary assignments are my employees and are not employed by the Boston Nanny Centre. The Boston Nanny Centre provides referrals only. I will use the services of the childcare provider referred by the Boston Nanny Centre only when contracted through the agency subject to twice the daily fee if I violate this. I hereby agree to hold the agency harmless of any and all loss, damage, destruction or accident claims which may arise out of or in connection with the rendering of any services by any worker referred by the agency.


I have read the agreement above and by entering my initials in the box below, I agree to adhere to it.

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