Nanny Can for Locals! 2007

Parent/Guardian Profile

You can contact us by phone at 941-377-8028(Office), 941-378-5099(Kris) or 941-321-5977(Alana) or by e-mail at thenannycan@yahoo.com.

Fields with a * are required.

The following form is for reserving a nanny only AND only for LOCALS of Sarasota, Longboat Key, Siesta Key and surrounding areas. If you are a VISITOR in need of our services, CLICK HERE. If you have any questions prior to reserving a nanny, please use the email address above. By filling out this form and submitting it, you are agreeing to a 4-hour minimum charge to your credit card when a Nanny Can representative contacts you. You must cancel prior to 24 hours before your reservation time/date. Thank you.

How should we contact you?

E-mail Phone
Cell Phone

Last Name^*

First Name, MI^*

E-Mail^*

Phone^*

Wife's Cell Phone

Husband's Cell Phone

Local Phone

Home Address^*

City^*

State^*

Zip Code^*

Date of Birth

Place of Employment

Address of Employment

City of Employment

State of Employment

Employment Phone

AUTO INFORMATION - Car Make

Car Model

Car Year

Car Tag Number

Car State

Driver's License Number

Driver's License State

Health Insurance Information - Type (BC/BS, Aetna, etc.)

Policyholder’s Name

Membership Number

Membership State

Child #1 Name

Child #1 Date of Birth

Child #1 Allergies/Restrictions

Child #2 Name

Child #2 Date of Birth

Child #2 Allergies/Restrictions

Child #3 Name

Child #3 Date of Birth

Child #3 Allergies/Restrictions

Child #4 Name

Child #4 Date of Birth

Child #4 Allergies/Restrictions

Child #5 Name

Child #5 Date of Birth

Child #5 Allergies/Restrictions

Address Nanny Should Report to if different from local address

Driving Directions for Nanny to get to the condo/rental/property

Description of Dates and Times Needed^*

Comments or Questions?

How did you find THE NANNY?

If other, please describe

By filling out this form and submitting it, you are agreeing to have a THE NANNY representative contact you for your credit card information so that a 4-hour minimum can be charged to your credit card. You must cancel prior to 24 hours before your reservation time/date.

Your nanny is not confirmed until you speak with our representative! We will contact you as soon as possible.

You must give THE NANNY a two week notice before leaving the program.

I claim that all information above is factual and correct and understand that sensitive contents will be treated as confidential and not shared with anyone unless in the course of medical or legal actions. I attest that I am the legal parent or guardian of the child/children listed above and assume all responsibility. I also acknowledge the fact that anyone other than myself who wishes to take custody of my child/children while in the care of a THE NANNY sitter must also have a PARENT/GUARDIAN PROFILE completed and on file.

Click Accept if you accept the terms above and have read and understood them fully.

There is a $25 one-time, mandatory registration fee for all locals.

You must read our policies page before submitting this form.

I accept the terms as explained above, AND have read THE NANNY policies page, and understand them fully.