Worthy




Client Family Application

Family Name:
Father's Name:
Mother's Name:
Address:
POST Code:
Location of job, if different from above:
POST Code:
Phone Number:
Email:
Preferred method of contact:
Child’s Name, Age, Gender, and Special Requirements (allergies/special needs/etc.)
Please describe your child/children:
Do you have any pets?


If yes, please describe:
Will the nanny be responsible for pets at any time?



Do you have any special requirements?
Does anyone in your family smoke?


Do you follow a specific diet?


Would you object to your nanny – or not – following a specific diet?


Do you require your nanny to travel with you?


Have you ever hired a nanny before?


If yes, what was the relationship like?
Are you in need of a...


When would you like to start interviewing for a nanny?
When is the ideal start date for you to hire the nanny?
How many hours a week will you need childcare for your children?
Please state the start and finish time each day.







Will you be providing benefits for your nanny such as vacation, holidays, and PTO?



Will you be providing health insurance or 401k for your nanny?



Would you like for your nanny to travel with the family on vacations?


Please describe your dream nanny. We want to set you up with the absolute best fit!
Please add anything that you feel is important for Need A New Nanny Yesterday, LLC, to know concerning you and your family:


TEMPORARY SERVICES CLIENT UNDERSTANDING AND RELEASE: Understanding between parties:

Please Read!

1. Need a New Nanny Yesterday, LLC. agrees to try their best to provide your family with a temporary childcare provider upon request by the below-signed client.
2. Rate: The client agrees to pay the Childcare provider directly for services rendered at least $23.00 to $25.00 per hour for 1 child and $2.00 per each additional child per hour, with a four-hour minimum.
3. Our clients understand they are responsible for a non-refundable agency booking fee of $25 that is charged upon a temporary nanny placement reservation.
4. Our client agrees to notify Need a New Yesterday of any job cancellation at least 48 hours in advance.
5. The client understands that the services provided by all Need a New Nanny Yesterday Caregivers must be contracted through the Need a New Nanny Yesterday office. The client further understands that the use of Need a New Nanny Yesterday childcare providers or the referral of a Need a New Nanny childcare provider to a third party without arranging the visit through Need a New Nanny Yesterday is considered "theft of services" and will result in a minimum fine of $750 in liquidated damages.
6. If the Client wishes to hire a childcare provider permanently, Need a New Nanny Yesterday will negotiate a nanny placement fee with the Client, which depends on the childcare package that is chosen by the Client. Need a New Nanny Yesterday’s standard placement fees for a Permanent Full-time Nanny is $4000.
7. The client understands that Need a New Nanny Yesterday childcare providers are not employees of Need a New Nanny Yesterday. The client understands that they are solely responsible for withholding and filing employment taxes for each calendar year in which the childcare providers’ payments exceed the limits set forth by IRS standards. SSC numbers of childcare providers must be obtained directly from the childcare provider.
8. The client agrees to indemnify, release and hold harmless Need a New Nanny Yesterday, its agents, employees, and officers for any and all claims relating to or arising out of the services by childcare poviders.



Permanent Nanny Terms and Agreement

1. If the Client wishes to hire a childcare provider permanently, Need a New Nanny Yesterday will negotiate a nanny placement fee with the Client, which depends on the childcare package that is chosen by the Client. Need a New Nanny Yesterday’s standard placement fees for a Permanent Full-time Nanny is $4000. There is an annual renewal fee due one year from the date of signed contract.
2. There is a non-refundable application fee of $500 that goes towards the full-time nanny packages.
3. Nanny search from start to finish typically takes between 2 and 6 weeks. This depends on the needs of the client.
4. The client understands that Need a New Nanny Yesterday childcare providers are not employees of Need a New Nanny Yesterday. The nanny is a contracted employee. The client understands that they are solely responsible for withholding and filing employment taxes for each calendar year in which the childcare providers’ payments exceed the limits set forth by IRS standards. SSC numbers of childcare providers must be obtained directly from the childcare provider.
5. The client is in agreement to indemnify, release and hold harmless Need a New Nanny Yesterday, its agents, employees, and officers for any and all claims relating to or arising out of the services by childcare providers.
6. If client employs nanny to drive chid(ren) to and from activities etc, Need a New Nanny Yesterday is in no way responsible for the safety of child(ren) while employing full-time nanny or temp nanny.
By paying a booking fee or application fee for Temp-nanny or Full time Nanny, the client is acknowledging that they have taken the time to read and understand all terms and conditions. The client understands that the contracted nannies with Need a New Nanny Yesterday, LLC are not employees of Need a New Nanny Yesterday, LLC.

TRANSPORTATION WAIVER (OPTIONAL):

I hereby give my consent for a Childcare provider hired through Need a New Nanny Yesterday, to transport my child(ren) in nanny’s or my automobile. I understand the nannies with Need a New Nanny Yesterday are not employees of Need a New Nanny Yesterday and that Need a New Nanny Yesterday is making no representation or warranties relative to the childcare provider’s suitability to transport my child(ren). Need a New Nanny Yesterday is in no way responsible for the safety of my child(ren) while being transported in a childcare provider’s or my family's automobile. I agree to indemnify, release, and hold harmless Need a New Nanny Yesterday, its agents, employees, and officers for any and all claims, including injury to the Client’s car or child(ren) while being transported to and from activities, etc. a childcare provider.

I accept the above transportation waiver:




MEDICAL RELEASE (OPTIONAL):

I hereby give my consent for Need a New Nanny Yesterday to administer medication to my child(ren). I understand that childcare providers with Need a New Nanny Yesterday are not medically trained. I agree to indemnify, release and hold harmless Need a New Nanny Yesterday, its agents, employees, and officers for any and all claims relating to a childcare provider’s administering of medication to my child(ren).

I accept the above medical release:




Declaration:
The answers given in this application are truthful, and to the best of our knowledge. I have read the terms and conditions as set out by Need A New Nanny Yesterday, LLC.



Please check the below box before sending the form:




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