form

Request

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General Information

First name* Last name* Street* Number* Postcode* City* Telephone number* Email address*

Babysitter request

What type of babysitter request would you like to make?* ---Incidental babysitterPermanent babysitterReplacement babysitter

Preferences OppasStudent

Preference sitter gender* male female no preference

Sitter with driver license?* yes no preference

Sitter with bicycle?* yes no preference

Sitter should be proficient in another language other than Dutch, namely:

How often do you need a babysitter?* +/- two or three times a month  every week several times a week

If you need a babysitter more then once a week, do you agree with two permanent babysitters?* yes (condition if you need a babysitter three or more times a week) no n.a.

When a babysitter is needed at fixed times, fill in the schedule.
Please only fill in the days you need a babysitter (leave the other fields empty):

	times
monday
thursday
wednesday
thursday
friday
saturday
sunday

Remarks

When is a replacement needed?

Date*---mondaytuesdaywednesdaythursdayfridaysaturdaysunday ---01020304050607080910111213141516171819202122232425262728293031 ---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

Times (estimate)* from: ---000102030405060708091011121314151617181920212223---00153045 till: ---000102030405060708091011121314151617181920212223---00153045

Date*---mondaytuesdaywednesdaythursdayfridaysaturdaysunday ---01020304050607080910111213141516171819202122232425262728293031 ---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

Tijden* from: ---000102030405060708091011121314151617181920212223---00153045 till: ---000102030405060708091011121314151617181920212223---00153045

Date*---mondaytuesdaywednesdaythursdayfridaysaturdaysunday ---01020304050607080910111213141516171819202122232425262728293031 ---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

Tijden* from: ---000102030405060708091011121314151617181920212223---00153045 till: ---000102030405060708091011121314151617181920212223---00153045

+ another date - a date less

Additional Comments

I agree with the terms of agreement

Confirmation

General Information

Name:
Address:
Postcode:
City:
Telephone number:
Email address:

Your babysitter request:

requested

The mediation costs for this request are €???.

...

Explanation types of babysitters

Permanent Babysitter:
The babysitter is available on one or more fixed days a week.

Occasional babysitter:
The babysitter is available for up to three times a month on a flexible basis in the evenings and holidays, but not on fixed days. If you need a babysitter for one or more specific data, you can request a replacement babysitter. If you are looking for a babysitter who is available regularly on a fixed day, then you can apply for a permanent babysitter.

Replacement babysitter:
A babysitter for one or more specific dates on which the permanent babysitter is not available. If you send the request at least 24 hours in advance, we almost always manage to find a babysitter on time.