Hotel Childcare Request | Sitters In A Second, Inc.

Contact Information

First Name

Last Name

Phone Number
Numbers only; please do not include periods, dashes, or any other special characters.

Email

Family Information

	Name	DOB	Gender
	Add a new child

Please select all children that require childcare.

Childcare Location

Service Area

Don't see your area listed? We are always working to expand our network of sitters, and hope to provide service to your area soon. Please keep an eye on our website and social media platforms.

Hotel Name

Name as Registered

Hotel Address

City

State

Zip Code

Special Requests/Health Concerns (for safety and hygenic reasons, sitters are not permitted to bring any items for the children to a job):

Individual Sitting Periods

	Date	Start Time	End Time	Company Referral Charge
	Add a new childcare session

Start Date & Time

End Date & Time

Please Confirm Individual Sitting Periods

Confirm by marking the checkbox at the beginning of each sitting period line.
Sitters are paid their rate in cash at the end of each sitting period.

	Date	Start	End	Referral Charge

Please create a password below, so that you may review, edit, cancel, and/or easily submit a new request:

Password

Your password must be at least eight (8) characters in length.

Confirm Password