Please fill out the application as completely as possible.

Please note that the application is long.  You may wish to review the questions before you begin answering.  You will NOT be able to save your answers and finish later.

Today's Date (required):

Date or dates the sitter is needed (required):

Arrival time for sitter and departure (four hour minimum) (required):

Location sitter needs to arrive (required):

Where do you wish to be reached (home, work, mother's cell, father's cell)?

Mother's Name (required)

Occupation:

Place of Employment:

Work Phone:

Cell Phone:

Email (required):

Father's Name (required)

Occupation:

Place of Employment:

Work Phone:

Cell Phone:

Email (required):

Home Address (required): Please include STREET, CITY, STATE and ZIP:

Neighborhood:

Home Phone (required):

Emergency phone contact other than parents (required):

I am interested in using Elite Nannies and sitters for (click all that apply):
sick care
evening sitting
evening sitting
24 hour care
overnight care
1-6 week placement
2-6 month placement
Please describe your children:
Name:
Month:
Day:
Year:
Gender
Name:
Month:
Day:
Year:
Gender
Name:
Month:
Day:
Year:
Gender
Name:
Month:
Day:
Year:
Gender

Will you be present when the caregivers are with your children? yesno

Please list any pets:

Do any other family members or friends live in your home (e.g. grandparents)? yesno

Will they be there when the caregiver is present? yesno

Please describe situation:

Does anyone in your home smoke? yesno

Please add anything that you feel is important for us to know concerning you and your family (allergies, special instructions, etc.).

Please update Elite Nannies and Sitters regularly with new children, addresses, phone numbers, and pets.

How did you hear about Elite Nannies and Sitters?

Would you like more information regarding other Elite Nannies and Sitters services (click all that apply)?

Nanny Placement Service:
Party Helpers:
House and Pet Sitters:
Group Care:

Elite Nannies and Sitters Temporary Services Client Understanding and Release:

Understanding between parties:

1. Elite Nannies and Sitters agrees to make its best effort to locate temporary child caregivers for client’s child care needs on an as requested basis.
2. Client agrees to pay on-call caregivers directly for services rendered at least $14.00 per hour for 1-3 children and $17.00 per hour for 4-5 children (holiday rates are an additional $3/hr and time and a half the standard rate on Christmas and NYE). For “sick child care”, client agrees to pay caregivers at least $15.00 per hour for 1-3 children and $17 per hour for 4-5 children. Client agrees to pay Vacation Sitter $17/hr for 1-3 children and $20/hr for 4-5 children. Vacation Client agrees to pay Kiawah and Seabrook clients $21/hr for 1-3 children and $24/hr for 4-5 children + One hour for drive time. Client Agrees to pay the agency placement fee of $35 per sitter or $45 per sitter for less than 48hrs. Notice.
Client agrees to pay “Party Helpers” $17 per hour . There is a 3-hour minimum on Party Helpers. Meal accommodation for jobs exceeding 6 hours. Caregiver driving further than a 10 mile radius will be compensated at .54/mile.
3. If applicable, client agrees to pay pet sitter directly for services rendered at least $25 for 1-2 visits per day and $40 for 3 visits per day or overnight. Client agrees to pay house sitter $20 for 1 visit per day and $25 per overnight visit.
4. Non- Member Client understands that a non-refundable Agency fee must be paid in advance via Freshbooks, check or money order for every confirmed reservation. Member Client understands a 5.00 late fee will be added each month invoice is past due
5. Client understands that if s/he cancels a caregiver who has already been confirmed by Elite Nannies and Sitters s/he will be charged the agency reservation fee. Client further understands that if canceling with less than 24-hour notice, s/he will be charged the four-hour minimum for the caregiver in addition to the agency reservation fee.
6. Client understands that the services provided by all caregivers referred by Elite Nannies and Sitters must be contracted through the Elite Nannies and Sitters office. Client further understands that the use of an Elite Nannies and Sitters caregiver, or referral of an Elite Nannies and Sitters caregiver to a third party, without arranging the visit through Elite Nannies and Sitters, is considered “theft of services” and will result in a charge of $3000 for liquidated damages.
7. In the event that Client wishes to hire a Caregiver referred by Elite Nannies and Sitters on a permanent basis, Elite Nannies and Sitters agrees to negotiate with the client in arriving at an acceptable placement fee. Elite Nannies and Sitters standard placement fee for a permanent Caregiver (“Nanny”) is $1200 for a part-time and full time position, (under 32 hours per week). $1700 for a full-time Live-Nanny (32 or more hours per week) with a 90 day guarantee. Client agrees to pay the Yearly membership fee of $200 when choosing to become a member for sitter services. Standard placement for Summer Nannies or Temporary Nanny is $600 with a 30 day guarantee. Standard placement for for Temporary Nannies is $75 per week.
8. Client understands that caregivers working with Elite Nannies and Sitters are not employees of Elite Nannies and Sitters. Client understands that if they pay more than the allotted government amount per calendar year to any one caregiver s/he is responsible for withholding and filing employment taxes for that person. Social Security number of caregivers must be obtained directly from caregivers.
9. Client agrees to forever indemnify, release and hold harmless Elite Nannies and Sitters, its agents, employees, and officers for any and all claims relating to services provided by caregivers.

I have read and understand the terms of the agreement.

Transportation Waiver: (optional)

I hereby give consent for an Elite Nannies and Sitters caregiver to transport my child(ren) in her or my automobile. I understand that caregivers with Elite Nannies and Sitters are not employees of Elite Nannies and Sitters. Elite Nannies and Sitters is in no way responsible for the safety of my child(ren) while being transported in caregivers or our family’s automobile. I agree to forever indemnify, release and hold harmless Elite Nannies and Sitters, its agents, employees and officers for any and all claims including injury to client’s car of child(ren) while being transported by an Elite Nannies and Sitters caregiver.

I understand and agree to the above transportation waiver.

Medication Release: (optional)

I hereby give my consent for an Elite Nannies and Sitters caregiver caring for children in my home, to administer medication to my child(ren). I understand that Elite Nannies and Sitters caregivers are not medically trained. I hereby release, discharge and hold harmless Elite Nannies and Sitters, its employees, agents, and officers from any and all claims relating to the administering of medication to my child(ren).

I understand and agree to the above medical release waiver.

NO SWIM Policy

I understand and agree that there will be NO SWIMMING permitted for children during the care of an Elite Nannies and Sitters caregivers. I hereby release, discharge and hold harmless Elite Nannies and Sitters, its employees, agents, and officers from any and all claims relating to swimming.

I understand and agree to the above NO SWIM Policy.

Thank you for using Elite Nannies and Sitters!