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All children under the age of 14 should
be supervised by a babysitter

LOCATION
Conference
Date
 Pick a Date   to  Pick a Date  
Hours
to
Hotel Name

Check-In
 Pick a Date  
 
CONTACT INFORMATION
Parent Name
How many Children?
What language(s) does your child speak?
Do you want to share a sitter with another family?
If so, specify the name(s) of another family
Cell Phone
Alternate Phone
Email

Password

Confirm Password

 

BILLING (HTTPS: SECURED)

Credit Card Number
Expiration
Security Code
Billing Address
Zip Code
Will you pay cash or credit card at the end of your stay?
Cash   Credit  
 
 
ELECTRONIC SIGNATURE
Do you give permission for your child(ren) to be treated in the event of an emergency?
Electronic Signature - this is your legal signature and confirms that you have read and agree to all policies and the Liability Release as stated herein.
I give permission for a doctor to treat my child in the event of an emergency.
Electronic Signature - this is your legal signature and confirms that you have read and agree to all policies and the Liability Release as stated herein.
I understand and agree to Super Sitters, Inc. terms and conditions.
 
User IP for Security Purposes
38.107.179.208
Date of Registration
Sun May 20 2012 1:45 AM