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Babysitting Registration Form Template

Create an efficient babysitting registration form for your needs

Finding a trustworthy babysitter can be a challenging task. This babysitting registration form template is designed to help families like yours gather essential information from potential sitters and streamline the hiring process. With this template, you can collect vital details such as availability, experience, and references, ensure clear communication, and make informed decisions, all while simplifying your babysitting paperwork. Discover how easy it is to customize and use this form to register for babysitting services-try out the live template now!

Use this Template (FREE) Live Preview
Parent or guardian full name
Email address
Primary phone number
Preferred contact method
Email
Phone call
Text message
Any
Child 1 full name
Child 1 date of birth
Child 1 allergies, medical conditions, or dietary restrictions
If applicable, describe special needs or accommodations for Child 1
Child 2 full name (optional)
Child 2 date of birth (optional)
Child 2 allergies, medical conditions, or dietary restrictions (optional)
If applicable, describe special needs or accommodations for Child 2 (optional)
Does Child 1 have any special needs or accommodations?
Yes
No
Requested date of care
Preferred drop-off time
Preferred pick-up time
How many children will attend?
1
2
3
4+
Not sure yet
Authorized pickup adults
Emergency contact full name
Emergency contact relationship to child(ren)
Emergency contact phone
Permission to seek emergency medical treatment if needed
Yes
No
Photo or video permission for program use
Yes
No
Permission to provide basic first aid (e.g., bandages, ice packs)
Yes
No
Diapering or potty assistance allowed (as age-appropriate)
Yes
No
Anything else we should know to care for your child(ren) safely and comfortably?
I have read and agree to the babysitting program policies
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Typed name of parent or guardian (serves as signature)
Signature date
{"name":"Parent or guardian full name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Parent or guardian full name, Email address, Primary phone number","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration featuring a babysitting registration form with a child and caregiver design elements

When to use this form

Use this template when you need to collect family and child details before providing care, whether for a one-off event, church nursery, school fundraiser, or ongoing in-home help. Gather each child's name and date of birth, allergies and medications, routines, emergency contacts, and pickup permissions in one secure place. The result: faster intake, safer handoffs, and fewer back-and-forth messages. Small agencies and community centers can also use it to match families with screened caregivers. If you also recruit sitters, pair the form with the Babysitter application form and an Employee reference check form to vet candidates before you assign them to a family.

Must Ask Babysitting Registration Questions

  1. What is your child's full name and date of birth?

    It uniquely identifies the child and confirms age for ratios and activities. Clear identity data prevents mix-ups across siblings and sessions.

  2. Who should we contact in an emergency, and who is authorized for pickup?

    Listing names, relationships, and phone numbers helps staff reach the right adult fast. It also prevents unauthorized release.

  3. Does your child have any allergies, medical conditions, or medications?

    This directs caregivers to avoid triggers and prepare the right supplies. It reduces risk and speeds response if something happens.

  4. What dates and times do you need care, and where will care take place?

    Accurate scheduling lets you staff the right number of sitters and plan arrivals. If you also recruit caregivers, you can vet them with a Professional reference form before confirming assignments.

  5. Do you consent to basic first aid and emergency medical treatment if we cannot reach you?

    Written consent lets caregivers act quickly and within policy during urgent situations. It protects children, families, and your organization.

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