Temporary Childcare Form

Family Name: Family Name

Father's Name: Father's Name

Mother's Name: Mother's Name

Address: Address

POST Code: POST Code

Location of job, if different from above: Job location

POST Code: POST Code

Phone Number: Phone Number

Email: Email

Preferred method of contact: Method of Contact

Child’s Name, Age, Gender, and Special Requirements (allergies/special needs/etc.) Child name

Please describe your child/children: Child description

Do you have any pets?
Pets Yes
No

If yes, please describe: Pet description

Will the nanny be responsible for pets at any time?
Pets Yes
No
Maybe

Do you have any special requirements? Special requirements

Does anyone in your family smoke?
Smoke Yes
No

Do you follow a specific diet?
Diet Yes
No

Would you object to your nanny – or not – following a specific diet?
Specific Diet Yes
No

Do you require your nanny to travel with you?
travel Yes
No

Have you ever hired a nanny before?
hired nanny Yes
No

If yes, what was the relationship like? previous nanny

When would you like to start interviewing for a nanny? interview date

When is the ideal start date for you to hire the nanny? hire date

How many hours a week will you need childcare for your children? hours a week

Please state the start and finish time each day.
schedule Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Please add anything that you feel is important for Need A New Nanny Yesterday, LLC, to know concerning you and your family: additional info

I understand that temporary nannies are not permitted to transport children in either the client’s vehicle or their own personal vehicle.

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 $25.00 to $27.00 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 $35 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 $5000.
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.

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.

Please Note: Expectations for Temporary Nanny Services

When hiring a Temporary Nanny through Need A New Nanny Yesterday (N.A.N.N.Y.), it’s important to understand that this role is more similar to that of a professional babysitter rather than a full-time nanny or household assistant. Temp nannies are there strictly to provide high-quality care and nurturing for your children. Their primary responsibility is to engage with your children through age-appropriate play, supervision, and maintaining a safe, supportive environment.

Temporary nannies are not expected to perform household tasks such as laundry, dishes, or other light housekeeping duties. Their full attention is dedicated to the well-being and care of your children.

Because Temp Nannies are stepping into your home on a short-term basis, they may not be familiar with your family’s routines. We strongly recommend that families provide clear written instructions, including:

• Daily routines (meals, naps, screen time, etc.)
• Any allergies or medical concerns
• House rules or discipline approaches
• Emergency contact information
• Preferred method of communication (email or phone)

Please take a few minutes to review all expectations with your temp nanny prior to your departure. Ensuring the nanny is well-informed helps create a smoother experience for everyone and allows them to provide the best care possible.

We appreciate your cooperation and are here to support you in every step of your childcare journey.

I understand and agree to the above expectations.

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:
Medical Yes
No

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.

I understand and agree to the above terms and conditions.

Please check the below box before sending the form: