Babysitting Release Form Template

Babysitting Release Form

Please fill out this form completely to provide consent and important information for babysitting services.

Parent/Guardian Information

Name

Phone Number

Email

Child Information

Child's Name

Date of Birth

Allergies or Special Needs

Additional Notes (if any)

Emergency Contact Information

Name

Phone Number

Relationship

Acknowledgment and Release

I, the undersigned, grant [Your Company Name] permission to provide babysitting services for my child as named above.
I understand that babysitting involves activities that may carry minor risks, and I agree to assume responsibility for those risks.
I release and discharge [Your Company Name], its employees, and agents from any claims or liability arising from babysitting services, except in cases of gross negligence.
I confirm that all provided information is accurate and agree to inform [Your Company Name] of any updates as needed.

Do you consent to the release as described in this form?

I hereby confirm that all the above information is true and authentic and that I have read, understood, and agree to the terms and conditions.

Your Name

Date Signed

Release Form Templates @ Template.net