BabysitEase Southeastern Virginia

Long-term Childcare (Family)

BabysitEase of Southeastern Virginia offers solutions for longer-term childcare needs as well. We provide the dependability of a nanny with the flexibility of no minimum hour requirements and no contracts. The BabysitEase of Southeastern Virginia solution can also be more cost-efficient than regular nanny services. Just fill out this short registration form and a BabysitEase of Southeastern Virginia representative will contact you. No request is too small or too big for our vast network of childcare specialists.

NOTE: If you already have an account with us, please login at the login page.

* Required information

Completed registration requires a $10.00 registration fee, unless you have a promotional code.

Family Status: *

Mother personal information:

Father personal information:

Mother`s first name:	*
Mother`s last name:	*
Mother`s middleinitial:
Mother employer:	*
Mother work number:
Mother mobile number:
Mother email address:

Father`s first name:	*
Father`s last name:	*
Father`s middleinitial:
Father employer:	*
Father work number:
Father mobile number:
Father email address:

Primary User: *

Your Contact Information:

Address:	*
County:	*
City:	*
State/Province:	*
ZIP code	*
Home phone number:	* E.g. (555)-555-555
E-Mail Address:	* E.g. user@babysitease.com	Your email address will be your userid for accessing your account and website features.

Children information:

Number of children:
* Required

Additional contacts:

Name:

Relationship:

Telephone:

Select the days of the week you need long-term childcare:

Mon	Tues	Wed	Thur	Fri	Sat	Sun

Sit information:

Start:	Finish:
Just select a start and end times, be sure end time is after a start time.
Start:	Select a start date here

Finish repeat date:

End:

Select an end date and a repeat count of the chosen shedule

Options:

Newsletter:

How did you hear about us?

Friend / Family
Internet Search
Advertising / Flyer
Other:

Your Password:

Password:	* This field requires minimum 5 characters
Password Confirmation:	* This field requires minimum 5 characters

Terms of service

By signing this form, we acknowledge that the sitter is an independent contractor and is not the agent of BabysitEase of Southeastern Virginia, and that the services rendered by BabysitEase of Southeastern Virginia consists solely of introducing us to the babysitter. We hereby agree that we will not assert any claims or institute any legal proceedings against BabysitEase of Southeastern Virginia arising out of the services rendered by the babysitter or our arrangements with the sitter

I accept the terms of this service and the responsible use guidelines