Mother's Name:
Mother's e-mail:
Mother's Home Phone:
Mother's Cell Phone:
Mother's Work Phone:
Father's Name:
Father's e-mail:
Father's Home Phone:
Father's Cell Phone:
Home Address:
Island Address:
Child 1
name, age & gender:
Child 2
name, age & gender:
Child 3
name, age & gender:
Child 1
medical & additional info.:
Child 2
medical & additional info.:
Child 3
medical & additional info:
Childcare Site

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 Assignment(s) Date(s),
Start Time(s) and
Finish Time(s)
Service
Providers:

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Please provide any additional information you feel will assist us in matching you with
a Caregiver that will best meet your needs.
Family and Agency Agreement/Understanding
All personal client information submitted through this web site will be held confidential:

1.  Let me do that! agrees to make its best effort to locate temporary child caregivers for clients’ child care needs on an as requested basis.
2.  Client agrees to pay Caregiver directly for services rendered at least $10.00 per hour for 1 child and
$2.00 per additional child per hour.  $10/hr-$50/hr is a standard range for temporary care of 1 child.
3.  Client agrees to pay Caregiver a transportation fee of $12.00 per assignment unless waived by caregiver in writing.
4.  Client understands that an agency fee will be charged to their credit card for every caregiver assignment (3 hour minimum per visit).
5.  Client agrees to pay agency an application fee of $150 for long-term assignments.
6.  Client agrees to pay agency a placement fee of $300 for long-term placements.
7.  Client understands that additional assignments provided by all caregivers originally introduced to client by Let me do that! must be arranged through
the Let me do that! office.  Client agrees that he/she will not hire or refer a Let me do that! Caregiver to a third party without the written consent of the
Let me do that! office.  Client further understands that use of a Let me do that! Caregiver without arranging the assignment through the Let me do that!
office will result in a charge of $800 for liquidated damages.  Client further understands that Let me do that! will negotiate a reduced placement fee if
client wishes to hire a caregiver on a regular basis.
8.  Client understands that all caregivers introduced by Let me do that! are independent contractors and are not employees of Let me do that!.  Client
understands that they are responsible for withholding and filing employment taxes for that person.
9.  Client understands that information provided by Let me do that! about independent contractors should be verified by the Client prior to making a
hiring decision.
10.  Client agrees to forever indemnify, release and hold harmless Let me do that!, its agents, employees and officers for any and all claims relating to
services provided by Caregivers.
I agree with items 1 to 10 above:
Your Martha's Vineyard Concierge
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To initiate a Caregiver Assignment Match, please complete the Family Application below: