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Sitters In A Second, Inc.
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1
Profile Info
2
Parents
3
Children
4
Emergency Contacts
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Contact information
Email Address
Confirm Email Address
First Name
Last Name
Cell Phone
Numbers only; please do not include periods, dashes, or any other special characters.
Secondary Phone
Numbers only; please do not include periods, dashes, or any other special characters.
New Password
Your
password
must be at least eight (8) characters in length.
Confirm Password
Select Membership Type
No Membership ($0.00)
Daily Membership ($14.00)
Weekly Membership ($70.00)
Monthly Membership ($140.00)
Annual Membership ($420.00)
Memberships are not required for Hotel Childcare Requests
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Parents
Parent 1
First Name
Last Name
Cell Phone
Numbers only; please do not include periods, dashes, or any other special characters.
Secondary Phone
Numbers only; please do not include periods, dashes, or any other special characters.
Fax
Numbers only; please do not include periods, dashes, or any other special characters.
Email Address
Parent 2
First Name
Last Name
Cell Phone
Numbers only; please do not include periods, dashes, or any other special characters.
Secondary Phone
Numbers only; please do not include periods, dashes, or any other special characters.
Fax
Numbers only; please do not include periods, dashes, or any other special characters.
Email Address
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Child Information
Name
DOB
Gender
Add a new child
No children have been added yet.
Name
DOB
Gender
-- select --
Male
Female
School(s) Name
Doctor's Name
Doctor's Phone Number
Numbers only; please do not include periods, dashes, or any other special characters.
Any Medical Conditions? Please provide details.
Hobbies and Interests?
Click to Add Child
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Emergency Contacts
Primary
First Name
Last Name
Relation
Cell Phone
Numbers only; please do not include periods, dashes, or any other special characters.
Secondary Phone
Numbers only; please do not include periods, dashes, or any other special characters.
Secondary
First Name
Last Name
Relation
Cell Phone
Numbers only; please do not include periods, dashes, or any other special characters.
Secondary Phone
Numbers only; please do not include periods, dashes, or any other special characters.
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Required Field