Registration

Name *

Prefix First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Mobile Number *

Number of Children (if event put n/a) *

Age of children (if event put n/a) *

Genders of children (if event put n/a) *

Sitter Preference

E-mail *

example@example.com

Additional Details (e.g. directions to house)

*

I consent to the details I have given above being stored on the Grace's Sitters database and to any relevant information being passed onto my sitter

*

I understand that Grace's Sitters cannot be held liable for any accidents or injuries that occur while a sitter is with my children