Family Application | Nursenanny

Nurse Nanny Family Application

As of now we are only offering babysitting services. We are not yet staffed to provide full time nannies but are doing what we can to broaden our staff. If you need coverage for a few days a week regularly, we will do what we can to cover that for you. Please keep in mind most of our babysitters are either full time students or full time employees.

While our sitters do have a medical background, this is only to provide parents comfort and a peace of mind while they are away. Nurse Nanny is not a home health company and our sitters do not provide nursing services or other medical care, except in emergency situations and at no additional charge over and above standard charges for childcare.

In addition, we do not provide childcare while children are sick.

Parent First Name

Parent Last Name

Phone Number

Tell us about yourself!

Tell us about your children!

Are your children in school or daycare? If so, where?

Do your children have any allergies or medical needs we should be aware of?

What are you looking for from us?

How did you hear about us? If recommened by someone, who?

I agree to the terms & conditions as listed below.Nurse Nanny Terms of Service

There is a $15 application fee.

When you click "Submit Application," you will be redirected to a payment page through Square. You must pay the fee before your application can be processed. If your application is not accepted, the fee will be refunded.