Family Babysitting Request & Vetting Form

1Parent / Guardian information

Full name(s) *

Home address *

Phone number *

Email address *

Best method of contact

2Child information

Number of children requiring care *

Child(ren)'s ages *

Any allergies, medical conditions, or special needs we should be aware of?

3Babysitting needs

4Household information

Will any other adults be present in the home during babysitting hours?

Yes, other adults will be present

Are there pets in the home?

Yes, there are pets

5Family expectations

What qualities are you looking for in a babysitter?

Household rules, routines, or expectations the babysitter should know

6Safety & conduct acknowledgment

Please type your initials beside each statement.

I understand that babysitters have the right to a safe, respectful, and harassment-free environment.

I agree to provide accurate information on this form.

I will communicate schedule changes promptly.

I understand that referrals may be suspended if concerns arise regarding family conduct or safety.

7Emergency information

Emergency contact name *

Relationship *

Phone number *

8Consent

I certify that the information provided is accurate and understand that completion of this form does not guarantee babysitter placement.

Parent / guardian signature (type full name) *

Date *

Your information is kept private and used only by The KR.I.S. Foundation review team.