Guardian Angels Sitting Service
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Wathing Over All That Matters and Trusted by Families Since 2009
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Daily Timesheet

Type of Service:
Daily
Weekly
Monthly
Annual
Childcare
Elderly
*Family Name (First, Last)
*Sitting Location (Address):
*City
State:
*Zip Code:
*Cell Phone:
*Email:
*Guardian Angel Name:
Provider Charges:

Paid in cash to the sitter

Number of Children:
*$_______Rate per hour
Day:
*Date: (MM/DD/YY)
*Start Time: (AM or PM)
*End Time: (AM or PM)
*Total Hours:
Total Milage: $.25 x___miles=_____
*Hourly______x______Hours+Milage_____=Provider Total: $______
Authorization

Authorization: (upon childcare provider beginning work, authorization is automatically accepted in its entirety).

I have authorized the childcare provider named above to care for my child(ren). I have given the provider clear instructions and provided them with emergency telephone numbers, medical information, allergy information, and any special conditions and/or instructions for my child(ren).

I agree to pay Guardian Angels Sitting Service of Broward and Miami-Dade County LLC (the Agency) the Agency referral fee and the childcare provider according to the attached fee schedule. I understand that neither I, nor the agency, are employers of this childcare provider and that they are independent contractors. I have willingly provided my credit card information in writing, by fax or over the phone and authorize Guardian Angels Sitting Service of Broward and Miami- Dade County LLC (the Agency) to automatically charge any amount incurred due to non-payment on my behalf, I have thoroughly read and understand the information contained within this contract and agree to all membership terms. I understand that the sitter may NOT drive my children at any time without clearance from the agency and an additional DMV record check at a cost of $15. I understand that the agency is not liable or covered by insurance while Children are being transported by a sitter in their vehicle.

Confidentiality Provision.Applicant and Agency agree that the names of Independent Contractors are and shall remain the exclusive property of Guardian Angels Sitting Service of Broward and Miami-Dade County LLC, are confidential and are of great value to the Agency. Applicant and Agency further agree that all other information used by the Applicant in obtaining the referral services of Independent Contractors including, but not by way of limitation, time sheets, service invoices and the names of Independent Contractors are trade secrets, are confidential and are the valuable property of the Agency, and that any such information obtained by the Applicant during the course of this agreement is and shall remain the property of the Agency. Applicant and Agency further agree that during this agreement and the period of three (3) years immediately after the termination of this agreement, Applicant will not, either directly or indirectly make known or divulge the names, phone numbers and addresses of any of the Independent Contractors, or divulge any confidential information received from the Agency to any person, firm or corporation. Applicant also agrees that during this agreement and the period of three (3) years immediately after the termination of this agreement, the Applicant will not, either directly or indirectly call upon, solicit, divert, or take away any of the Independent Contractors, upon whom the Applicant became acquainted with by referral of the Agency. Applicant and Agency agree that Applicant's unauthorized disclosure or use of Agency's confidential information and trade secrets would irreparably damage the Agency and if found in violation, applicant can be fined $3,000 per incident. IT IS AGAINST THE POLICY OF GUARDIAN ANGELS SITTING SERVICE FOR THE AGENCY OR SITTER TO PROVIDE A PHONE NUMBER FOR THE SITTER. YOU MAY CONTACT THEM DIRECTLY ONLY WHILE THEY ARE WATCHING OVER YOUR CHILDREN BY CALLING THE LANDLINE IN THE HOTEL, VACATION HOME OR PRIVATE HOME OR BY HAVING THE SITTER CHECK IN WITH YOU BY CALLING YOU WITH A BLOCKED NUMBER AT SPECIFIC TIMES THAT YOU AGREE UPON.

*Mother Signature:
*Date:
*Fathers Signature:
*Date:
 
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