I, the undersigned Mr. Mrs.
I would like to have my children looked after at the Hôtel where I am currently stayingin room n°
Number(s) of child(ren) in custody :
Name and surname of the child : Age :
Date of custody:
from to
Schedule:
from h min at h min
Total hours :
I declare that I will give the babysitter and the company that employs her all the necessary details about my children's health and lifestyle in order for the babysitting to go as smoothly as possible. I hereby allow the babysitter to perform the following tasks :
Shower / bath outlet yesno
Taking the meal yesno
Administration of a medication prepared in advance by the parent yesno
Outing outside the hotel yesno
Go to the hotel's Spa yesno
In case of questions or problems, I would like to be contacted at the following number :
Any other specific authorizations/prohibitions :
Please indicate if the child/children have any allergies. If so, which ones ?
Your email
