Premier Membership Care Request Form Let's Get Started!This form is for Flex clients with a set, consistent schedule, wanting to reserve a TC sitter on a regular basis. Upgrade to premier membership will be required upon selection. Your Name* First Last Agency Location*TucsonPhoenixDFWHiddenPosition Start Date: MM slash DD slash YYYY Position Start Date* MM slash DD slash YYYY Position End Date (optional): MM slash DD slash YYYY Work Hours (per week): (Please note that client will be charged an overtime fee of $8 per hour for any hours worked over 40.) Please provide the consistent weekly work schedule that your premier sitter is to be reserved for:*Do you anticipate this schedule changing? If yes, explain.Please select the Premier Membership length you would like to maintain or upgrade to:*3-Month ($249)6-Months ($349)12-Months ($499)Position RequirementsPlease note: All TC caregivers Flex Team meet our minimum requirements for hire and may not meet all of your desired qualifications. Please describe the regular job duties you would like the sitter to perform.(“TC Care” includes anything pertaining to caring for children such as children’s laundry, cleaning and tidying playing/eating areas, preparing meals for the children, etc. There will be an up charge for “Family Assistant”- having the nanny perform non-child care related tasks such as light housekeeping related to the family, errands, family meal prep, etc.)Please list any other preferences.Physical Requirements (necessary for performing job duties):Let's get on the same page.We never want to fall short of our clients' expectations. We ask that you agree to the following terms and conditions before becoming a Premier member. I understand and agree that all sitters on the TC Flex Team meet TC's minimum requirements for hire. I understand and agree that the regular sitter TC schedules with my family is not making any length of commitment to the position and may become unavailable at anytime in which case TC will work to find a replacement. I understand and agree that there may be a waiting period before TC is able to connect my family with a regular sitter and that the possibility exists that our agency is not able to find one regular sitter in a timely manner. I understand and agree that the sitter scheduled for my position is an employee of Trusting Connections Nanny Agency, is free to change his/her availability at anytime and/or request time off and is eligible to apply for other positions offered through our agency. I understand and agree that TC will make a reasonable effort to find a sitter according to clients' preferences but that this service does not include an extensive matching process like our Placement Division. I understand and agree that my priority scheduling privileges do NOT apply in cases where my regularly scheduled sitter has already been booked with another client.* Yes. I understand and accept. Email Please enter your email address if you would like to receive a copy of your submission. Signature*Date* MM slash DD slash YYYY CAPTCHA