Group Weekly Placement Form

How did you hear about Stellar Sitters?
I understand that I will be invoiced $21 (more than 24 hr notice) or $31.50 (less than 24 hr notice and holidays) per sitter after the sitters work.

I understand that I will be invoiced $21 (more than 24 hr notice) or $31.50 (less than 24 hr notice and holidays) per sitter after the sitters work. Yes, I understand No, I have questions
Group Name
Address where sitters are needed Address where sitters are needed
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Contact Name Contact Name First Last
Primary Phone Number Primary Phone Number - ### - ### ####
Secondary Phone Number Secondary Phone Number - ### - ### ####
Email Address
What specific dates/times are sitters needed on a weekly basis (sitters will need to be paid for at least 2 hours even if they work less)?
Duties and Responsibilities
Approximate Number of Children
Age Range of Children
Number of Sitters Needed (You are welcome to request 1 sitter as long as there will be another sitter provided by the group. Our sitters should never be alone, even if there is only one child)
Hourly Payrate (typical pay for a group is $20-$25/hr.) $ Dollars . Cents
Additional Information
Group Commitment

By using services provided by Amanda’s Babysitting Service, LLC d/b/a Stellar Sitters (“Stellar Sitters”), I understand and agree to the following guidelines:

1. I understand that the sitters are independent contractors, not employees of Stellar Sitters, therefore; Stellar Sitters is not responsible or liable for the sitter’s actions at anytime.

2. I will treat the sitters with dignity and respect at all times.

3. I will discuss pay rate with the sitter before he/she arrives to sit with the understanding that the average rate is currently $20-$25/hour.

4. I will provide specific instructions on how to take care of the children.

5. I will contact Stellar Sitters and the sitter(s) at least 24-hours before a scheduled job if I need to cancel. If I cancel with less than 24 hour notice, I will compensate the sitter for 2 hours.

6. In order for a job to be worthwhile, there is a 2-hour minimum requirement per job.

7. I will pay the sitter directly for the number of hours he/she sat, starting from the time he/she arrives.

8. If I am dissatisfied with the performance of a sitter I will notify Stellar Sitters.

9. I understand that the success of Stellar Sitters is based upon using the services provided honestly and appropriately, therefore I will not share sitter contact information with others.

10. I will not contact the sitters directly for future sitting needs. If I would like to utilize the sitters again, I will submit another Group Placement Form.

11. I understand that the sitters have been North Carolina background checked (DMV and Criminal) through www.certifiedbackground.com. In addition, they have references on file which can be viewed by request. It is my responsibility to conduct additional checks if needed.

12. I will not hold Stellar Sitters responsible for situations that may occur while a sitter is on duty.

By accepting I verify that I have read, agree with, and am committed to adhering to each of the above guidelines. Failure to do so will result in my being unable to use Stellar Sitters in the future and may result in a breach of contract claim against client.
By checking the box, this serves as your electronic signature.

By checking the box, this serves as your electronic signature. I accept the commitment.
Name of person submitting form. Name of person submitting form. First Last
Date submitted. Date submitted. / MM / DD YYYY

Group Weekly Placement Form

Group Weekly Placement Form

Group Commitment