Book A Hotel Sitter

If you have already completed your registration form, you may fill out this form to request a service.

BOOK A HOTEL SITTER

Use this form to schedule your sitter (4 hr. minimum required)

Registration

Our Sitter Service operates as a “Referral-Based” service. Sitters are independent contractors who sign up to use our platform. All sitters are fully vetted by going through a full background check, reference are checked, are CPR & 1st Aid certified, and have a minimum of 2 years childcare experience. Your caregiver’s bio can be found on our website (www.ampplaccement.com).

Once you book your sitter, they will be prompted to call you to discuss care.

Sitter’s rates start at $18 per hour.

There is a $1 per hour additional charge to the sitter’s rate for each child over three children.

Sitters are paid at the end of care session.

First Name

Last Name

Cell Phone #

Hotel Address

Room # if known

Number of Children

Start Date

Start Time

End Date

End Time

Additional Dates Needed? (Please list)

Child #1 Name

Child #1 Age and Gender

Child #2 Name

Child #2 Age and Gender

Child #3 Name

Child #3 Age and Gender

Child #4 Name

Child #4 Age and Gender

Child #5 Name

Child #5 Age and Gender

Greeter Name

Releaser Name

Relationship to care recipient(s)?

Requested Sitter's Name?

Permission for Medication to be administered?

Permission for sitter to take child outside of hotel room?

If you want your sitter to administer medicine, please sign below:

If you want your sitter to take child outside of room to a play area, please sign below:

Any additional notes about care?:

By signing below, you agree to pay sitter at specified rate by end of session:

HOME of SITTERWORX