The Nanny Connection, Inc.
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After completing your request, you will be
directed to a Credit Card Submission Form.
A two day advance notice is appreciated
for email requests.

Arrival Date:*

Departure Date:*

Hotel/Condo:*

Location:*

First Name:*

Last Name:*

Name on hotel reservation:*

Home Phone:*

Cell Phone:*

E-Mail Address:*

Names of Children:*

Age*

Girl/Boy*

Three Hour Minimum for Each Request.

Date:*

Start Time:*

End Time:

Allergies or Special Needs:

Additional Information:

How did you find us:


The Nanny Connection is a referral service. The nanny is an independent contractor, not an
employee of the agency. The client agrees to indemnify and hold the Agency and Agency's
referral(s) harmless for any acts or omissions including but not limited to willful misconduct,
negligence, loss or damage to property, personal injury, attorney's fees and costs.