Event Childcare Booking Request Form

Full Name (Primary Contact)

This field is required.

Email

This field is required.

Phone Number

This field is required.

Role

Preferred Method of Contact:

Event Type

This field is required.

Event Date

This field is required.

Event Start Time

This field is required.

Childcare Start Time

This field is required.

Childcare End Time

This field is required.

Venue Name

This field is required.

Venue Address

Address Line 1

This field is required.

Address Line 2

This field is required.

City

This field is required.

State

This field is required.

Postal Code

This field is required.

Country

Indoor

Outdoor

Both

Will children remain in a designated childcare area?

Yes

No

TBD

Estimated Total Guest Count:

Estimated Number of Children

This field is required.

Will infants (under 12 months) be present?

This field is required.

Multi Choice

Under 1 year

1–3 years

4–7 years

8–12 years

13+

This field is required.

Any children with severe allergies or medical conditions?

Special Needs or Behavioral Considerations?

Do you require:

Standard Supervision Only

Activity Station (crafts/games)

Quiet / Rest Area

Custom Theme Activities

Unsure — please advise

Multi Choice

Sweet Celebration Package (up to 2 hours – 1 nanny – up to 4 children)

Perfect Day Package (up to 4 hours – 2 nannies – up to 8 children)

Full Event Care Package (up to 6 hours – 3 nannies – up to 12 children)

Custom Quote Requested

Estimated Hours Needed:

Estimated Number of Children:

Will a private room or dedicated childcare space be provided?

Yes

No

Access to:

Will food be served to children?

Who is responsible for child meals/snacks?

I understand this is a booking request, not a confirmed reservation.

This field is required.

I understand final pricing may vary based on child count, ages, and event logistics.

This field is required.

I agree that a signed Service Agreement and deposit are required to secure services.

This field is required.

I understand TriState Nannies provides non-medical childcare supervision.

This field is required.

Anything else we should know about your event?

I consent to being contacted regarding this inquiry.

Event Childcare Booking Request Form

1. Contact Information

2. Event Details

3. Childcare Needs

4. Package Selection

5. Venue Logistics & Safety

6. Policies Acknowledgment

7. Additional Information

8. Submission