SR1000TempSitterClientProfile

NEW Temp/Occasional Sitter Clients

Let's get started.
Having access to our roster of professional sitters is easy as...

   1. Fill out Family Profile below.
   2. A representative will call to go over services and get registration payment.
   3. Submit your orders.

Have questions before you get started?
Email: info@caringhands.agency
or Call: 469-586-5262

Rates

Registration is $50 and service requires credit/debit card on file.
A minimum $15.00 service fee per job will be charged at time of booking.
Base rate for caregivers begins at $13.50 per hour, additional based on number of children and type of assignment. Total amount payable when booked. Gratuity for sitter can be paid directly to sitter in cash or charged to card on file.
The Agency requires a 3 hour minimum on all jobs.

Caring Hands Agency Family Profile

* Indicates required field

Client Name *

First

Last

Spouse Name *

First

Last

Home/Land Line Number *

Your Work Number *

Spouse Work Number *

Additional Phone Contact Information *

Email *

Preferred Contact Method *

Select Membership *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Closest Major Intersection to Your Location *

Name of Apartment, Townhome, or Housing Community *

Your Occupation *

Employer *

Spouse Occupation *

Employer *

Care recipients:

Child #1

Name *

Select One *

Birthdate *

Child #2

Name *

Select One *

Birthdate *

Child #3

Name *

Select One *

Birthdate *

Child #4

Name *

Select One *

Birthdate *

Special considerations for a Caregiver coming to my home: (i.e. special needs, stairs, pets, transporting, etc.) *

Will there be occasions when you will be in the home during a sitting? *

If yes, please explain. *

Please be aware that transportation of a child/adult, light housekeeping, shopping, or parent in the home, additional fees will apply. See Rates Sheet for full details.

How did you hear about us? *

Medical & Emergency Information

Physician's Name *

Physician's Phone Number *

Physician's Address *

Hospital Preference *

Hospital Phone Number *

Hospital Address *

My child has (has had) the following allergies or special needs: *

CLICK HERE TO READ REGISTRATION AGREEMENT

Check box after reading registration agreement. *

I have read the registration agreement and by checking this box I acknowledge signify that I understand and agree voluntarily to the conditions, terms, and charges stated therein.

Submit