Free 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
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
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I, the undersigned, grant [Your Company Name] permission to provide babysitting services for my child as named above.
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I understand that babysitting involves activities that may carry minor risks, and I agree to assume responsibility for those risks.
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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.
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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.
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