Your Travel Nanny, LLC will not sell, share or release personal information acquired by this form. The sole purpose of acquiring information via this waiver is to serve you and your family well. Your Travel Nanny LLC will only share this information with the Affiliate that is working directly with your family. 

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I Agree
I (hereafter "I" 'and "Client") agree to hold Your Travel Nanny, LLC (hereafter "YTN, LLC")  harmless from any liability caused from the placement/employment of any YTN, LLC nanny, cook or pet sitter (hereafter ''Affiliate/s"). YTN, LLC will not be held responsible at any time for illness, damage, death or loss as a result of interacting with YTN, LLC. I agree that YTN, LLC will not be held liable for reimbursement for fees (court, lawyer costs etc) associated with any claim that may be made by any person.

I Agree
I understand the contageous nature of the novel Coronavirus (COVID-19) and have familiarized myself with the CDC guidelines for COVID-19. I understand that employing an Affiliate could increase the risk of my child (ren)/family contracting COVID-19 and hereby assume all responsibility for illness, claims, loss or death as a result of this virus or any other sickness.  

I Agree
I will not use the services of YTN, LLC if I have symptoms of COVID-19 (fever, chills, cough, loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea, headache, shortness of breath/difficulty breathing, fatigue, or muscle or body aches).. If anyone in my household has any signs of sickness I will tell the Booking Agent prior to the Affiliate's arrival. Upon assessing the situation, I understand that a cancelation is possible.

I Agree
I agree to the terms of working with Affiliates through YTN, LLC. I acknowledge that all YTN Affiliates have signed a non-compete contract which states that all Client/Affiliate interactions must continue to go through Alexis "Lexi" Boyer (hereafter "Booking Agent") for all YTN, LLC services which include: nanny services, pet sitting, cooking, and nanny placement. At no time are YTN, LLC Affiliates allowed to book with Clients directly. I agree to not solicit the services of a YTN, LLC Affiliate without written consent from Alexis Boyer of YTN, LLC. Calling/emailing/texting Booking Agent or doing a three-person group text (Affiliate, Booking Agent, Client) are all acceptable modes of booking or modifying a booking.

 

I Agree
I understand that YTN, LLC's responsibility is to take reasonable steps to obtain and verify the accuracy of information of Affiliates during the screening process and to continue to update the information as needed.

I Agree
  I understand that YTN, LLC places Affiliates with Clients for a fee for longterm employment. I agree to contact Booking Agent directly upon deciding that I would like to hire a YTN, LLC Affiliate for part or full-time employment. I agree to go through the necessary steps that YTN, LLC requires to buyout an Affiliate from this company so that they become my employee (should that be the desire of the Affiliate and Clients). 

 

I Agree
 YTN, LLC does not withhold taxes, car or health insurance premiums, social security premiums or any other expense that might occur while Affiliates works with family. All Affiliates are independent contractors in charge of paying their own taxes off from any income afiliated with YTN, LLC. YTN Affiliates are not on payroll at YTN, LLC. 

I Agree
I agree to provide a meal/meals for my YTN, LLC Affiliate as needed anytime he/she is caring for my child(ren).

I Agree
I agree to the YTN, LLC booking and cancelation policy which states: In order to book a YTN, LLC Affiliate, please pre-pay the Affiliate directly in full via Venmo. Cancelations made outside of 24 hours will be refunded in full. Cancelations made within 24 hours of a booking will incur a four-hour minimum charge. After a YTN, LLC Affiliate receives payment, the booking is complete and your Affiliate will contact you via phone call to confirm details. Please note our cancelation policy for bookings of 3 + days for child or pet care:  A full refund is available when a cancelation is made up to four days prior to a booking, and a 50% refund is available if a cancelation occurs 72 hours or less from the start time of the booking. 

I Agree
I agree to pay all debts in a timely manner. I understand that rates are higher on certain holidays and high-demand days as listed on this website and agree to pay accordingly.

I Agree
I release Your Travel Nanny, LLC from any liability caused by omissions or any misrepresentation of fact, or by disclosure of personal information about Clients from any Affiliate while working for Clients. YTN, LLC is not held liable for the conduct of any Affiliate while working with Clients. 

I Agree
Should a medical emergency arise, I ask that an Affiliate immediately seek professional medical help. As the Client, I assume all costs associated with this care.

I Agree
YTN, LLC reserves the right to deny services at its discretion and alter rates as needed.

I Agree
By signing this Agreement on behalf of myself and all minors in my charge,  the parties hereby agree to all terms and conditions listed above. By signing this agreement I state that I will not sue Your Travel Nanny, LLC and Affiliates, and I release any and all Claims based on the actions or negligence or any YTN, LLC Affiliate.

 

First Clients Name

First Name*

Last Name*

Phone*
First Clients Date of Birth*
I certify that I am 18 years of age or older
First Clients Information
Have you or anyone in your household been exposed to COVID-19 in the past two weeks?*
No
Yes
Have you or anyone in your household experienced any of these symptoms within the past two weeks? *
headache
fever/chills/nausea
loss of taste or smell
cough
sore throat
diarrhea
vomiting
congestion or runny nose
none of the above
Have you or anyone in your household traveled by plane in the past two weeks?*
No
Yes

Does your child/children have any allergies, need any medications, or have any special needs? Please specify here.

Please provide the full address of where childcare is to take place.
First Clients Signature*
Second Clients Name

First Name*

Last Name*
Second Clients Date of Birth*
Second Clients Information
Have you or anyone in your household been exposed to COVID-19 in the past two weeks?*
No
Yes
Have you or anyone in your household experienced any of these symptoms within the past two weeks? *
headache
fever/chills/nausea
loss of taste or smell
cough
sore throat
diarrhea
vomiting
congestion or runny nose
none of the above
Have you or anyone in your household traveled by plane in the past two weeks?*
No
Yes

Does your child/children have any allergies, need any medications, or have any special needs? Please specify here.

Please provide the full address of where childcare is to take place.
Third Clients Name

First Name*

Last Name*
Third Clients Date of Birth*
Third Clients Information
Have you or anyone in your household been exposed to COVID-19 in the past two weeks?*
No
Yes
Have you or anyone in your household experienced any of these symptoms within the past two weeks? *
headache
fever/chills/nausea
loss of taste or smell
cough
sore throat
diarrhea
vomiting
congestion or runny nose
none of the above
Have you or anyone in your household traveled by plane in the past two weeks?*
No
Yes

Does your child/children have any allergies, need any medications, or have any special needs? Please specify here.

Please provide the full address of where childcare is to take place.
Fourth Clients Name

First Name*

Last Name*
Fourth Clients Date of Birth*
Fourth Clients Information
Have you or anyone in your household been exposed to COVID-19 in the past two weeks?*
No
Yes
Have you or anyone in your household experienced any of these symptoms within the past two weeks? *
headache
fever/chills/nausea
loss of taste or smell
cough
sore throat
diarrhea
vomiting
congestion or runny nose
none of the above
Have you or anyone in your household traveled by plane in the past two weeks?*
No
Yes

Does your child/children have any allergies, need any medications, or have any special needs? Please specify here.

Please provide the full address of where childcare is to take place.
Fifth Clients Name

First Name*

Last Name*
Fifth Clients Date of Birth*
Fifth Clients Information
Have you or anyone in your household been exposed to COVID-19 in the past two weeks?*
No
Yes
Have you or anyone in your household experienced any of these symptoms within the past two weeks? *
headache
fever/chills/nausea
loss of taste or smell
cough
sore throat
diarrhea
vomiting
congestion or runny nose
none of the above
Have you or anyone in your household traveled by plane in the past two weeks?*
No
Yes

Does your child/children have any allergies, need any medications, or have any special needs? Please specify here.

Please provide the full address of where childcare is to take place.
Sixth Clients Name

First Name*

Last Name*
Sixth Clients Date of Birth*
Sixth Clients Information
Have you or anyone in your household been exposed to COVID-19 in the past two weeks?*
No
Yes
Have you or anyone in your household experienced any of these symptoms within the past two weeks? *
headache
fever/chills/nausea
loss of taste or smell
cough
sore throat
diarrhea
vomiting
congestion or runny nose
none of the above
Have you or anyone in your household traveled by plane in the past two weeks?*
No
Yes

Does your child/children have any allergies, need any medications, or have any special needs? Please specify here.

Please provide the full address of where childcare is to take place.
Seventh Clients Name

First Name*

Last Name*
Seventh Clients Date of Birth*
Seventh Clients Information
Have you or anyone in your household been exposed to COVID-19 in the past two weeks?*
No
Yes
Have you or anyone in your household experienced any of these symptoms within the past two weeks? *
headache
fever/chills/nausea
loss of taste or smell
cough
sore throat
diarrhea
vomiting
congestion or runny nose
none of the above
Have you or anyone in your household traveled by plane in the past two weeks?*
No
Yes

Does your child/children have any allergies, need any medications, or have any special needs? Please specify here.

Please provide the full address of where childcare is to take place.
Eighth Clients Name

First Name*

Last Name*
Eighth Clients Date of Birth*
Eighth Clients Information
Have you or anyone in your household been exposed to COVID-19 in the past two weeks?*
No
Yes
Have you or anyone in your household experienced any of these symptoms within the past two weeks? *
headache
fever/chills/nausea
loss of taste or smell
cough
sore throat
diarrhea
vomiting
congestion or runny nose
none of the above
Have you or anyone in your household traveled by plane in the past two weeks?*
No
Yes

Does your child/children have any allergies, need any medications, or have any special needs? Please specify here.

Please provide the full address of where childcare is to take place.
Ninth Clients Name

First Name*

Last Name*
Ninth Clients Date of Birth*
Ninth Clients Information
Have you or anyone in your household been exposed to COVID-19 in the past two weeks?*
No
Yes
Have you or anyone in your household experienced any of these symptoms within the past two weeks? *
headache
fever/chills/nausea
loss of taste or smell
cough
sore throat
diarrhea
vomiting
congestion or runny nose
none of the above
Have you or anyone in your household traveled by plane in the past two weeks?*
No
Yes

Does your child/children have any allergies, need any medications, or have any special needs? Please specify here.

Please provide the full address of where childcare is to take place.
Tenth Clients Name

First Name*

Last Name*
Tenth Clients Date of Birth*
Tenth Clients Information
Have you or anyone in your household been exposed to COVID-19 in the past two weeks?*
No
Yes
Have you or anyone in your household experienced any of these symptoms within the past two weeks? *
headache
fever/chills/nausea
loss of taste or smell
cough
sore throat
diarrhea
vomiting
congestion or runny nose
none of the above
Have you or anyone in your household traveled by plane in the past two weeks?*
No
Yes

Does your child/children have any allergies, need any medications, or have any special needs? Please specify here.

Please provide the full address of where childcare is to take place.
Parent or Guardian's Email Address

Email*

Confirm Email*
info@yourtravelnanny.com
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Driving Release
I authorize Affiliates of YTN, LLC to drive my child/children. I agree to not sue YTN, LLC or an Affiliate for injury, trauma or death as a result of a YTN Affiliate driving my child.*
No
Yes
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information
Have you or anyone in your household been exposed to COVID-19 in the past two weeks?*
No
Yes
Have you or anyone in your household experienced any of these symptoms within the past two weeks? *
headache
fever/chills/nausea
loss of taste or smell
cough
sore throat
diarrhea
vomiting
congestion or runny nose
none of the above
Have you or anyone in your household traveled by plane in the past two weeks?*
No
Yes

Does your child/children have any allergies, need any medications, or have any special needs? Please specify here.

Please provide the full address of where childcare is to take place.
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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