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Babysitting Application

Please fill out the following form and our staff will be in touch within 24 hours.

This form is for BNC’s babysitting subscription and per diem temporary care requests. For long-term nanny placements, use this form.

View our placement rates.

Step 1 of 4

25%

Meet the Parents
Parent 1's Name:*
First Last
Parent 1's Email Address:*
Parent 1's Phone Number:*
Parent 2's Name:
First Last
Parent 2's Email Address:
Parent 2's Phone Number:
Family Home Address:*
Street Address Address Line 2 City State ZIP Code

Meet the Children
Child 1's Name:*
Child 1's Birthdate:*
Child 1's Gender:*
Add a second child?*
- Yes
- No
Child 2's Name:*
Child 2's Birthdate:*
Child 2's Gender:*
Add a third child?*
- Yes
- No
Child 3's Name:*
Child 3's Birthdate:*
Child 3's Gender:*
Add a fourth child?*
- Yes
- No
Child 4's Name:*
Child 4's Birthdate:*
Child 4's Gender:*
Add a fifth child?*
- Yes
- No
Child 5's Name:*
Child 5's Birthdate:*
Child 5's Gender:*

Additional Information
Are there any medical situations, special circumstances, food allergies or dietary practices of which we should be aware in order to facilitate a more appropriate placement?*
- Yes
- No
Please specify:*
Will there be any pets in the location of care?*
- Yes
- No
What kind of pets and for what part of their care is the sitter responsible?*
In addition to parents and children, is there anyone else that lives in your home?*
- Yes
- No
Please describe others living in your home:*
Do you have indoor surveillance cameras?*
- Yes
- No
Does the sitter need a car to arrive at the family’s home/location of care?*
- Yes
- No
Is there parking available for the sitter?*
- Yes
- No
Is the parking on-street or off-street parking?*
Would you be willing to reimburse the sitter for parking costs?*
- Yes
- No
Will the sitter be required to drive as part of the position?*
- Yes
- No
Briefly describe the sitter's potential driving responsibilities:*
Is there a family car available?*
- Yes
- No
Is the available car an automatic or manual?*
- Automatic
- Manual
What will you be using the subscription for?*
Check all that apply
- Evening/date night
- Weekend help
- Weekday help
This field is hidden when viewing the form
Which subscription package are you interested in signing up for?*
- Babysitting
- Babysitting Plus
- Unsure
Is there any other information that would be helpful for us to know about your family?*
How did you hear about our agency?*

Family Agreement
Agree to our terms:*
Upon receipt of my application Boston Nanny Centre will contact me to set up a time to review the application. I agree that to enter into an agreement with Boston Nanny Centre I will sign an employer/agency contract, which further explains the payment schedule and terms. I have read the agreement above and by entering my initials in the box below, I agree to adhere to it.
Comments
This field is for validation purposes and should be left unchanged.

Boston Nanny Centre

Main Office: (617) 527-0114
Toll Free: (800) 456-2669
Hours of Operation:
Monday - Thursday: 9am - 5pm
Friday: 9am - 1pm
Saturday - Sunday: Closed

Services

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Resources

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Nanny Placement Application
Babysitting Subscription Application
Household Staffing Application
Concierge Subscription Application

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Nanny Application
Household Employment Application

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