ntbabysitting - Booking Hotline 0437 NTBSIT
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Parent Name
Address
Postal Address
Home Phone
Work Phone
Mobile Number
Email Address
No. of Children
Children's Names & Date of Birth
Sleeping Habits (eg what time for bed)
Dietary Needs:
Emergency Contact Name, Address & Phone
Family Doctor Details - Name, Address & Phone (if applicable)
Is your child/children immunisation up to date, according to their age?
Yes
No
Does your child/children have any allergies?
Yes
No
If Yes - Give Details
Is your child/children under going any medical treatment?
Yes
No
If Yes - Give Details
Does your child/children have any physical, medical condition, special need or disability?
Yes
No
If Yes - Give Details
What is your Medicare Number? (needed if required to attend hospital in emergency)
Is there any court orders regarding custody of your child/children
Yes
No
If Yes - Give Details
Any other arrangements regarding your children we should know?
Yes
No
If Yes - Give Details
Do you agree to pay the ntbabysitting Sitter cash at the end of the assignment?
Yes
No
I have read and understood ntbabysitting Terms and Conditions
Yes
No
I wish to pay my booking fee by:
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