Nanny Services Waiver and Release

By my signature below, I:

Represent and warrant that I am at least 18 years old and that I am the legal guardian of the child(ren) listed above;
Acknowledge and agree that My Jasper Nanny is providing the nanny/babysitting services I have requested (the “Services”);
Specifically acknowledge and agree that my Services provider will not feed my child(ren) other than with food I have left for that purpose;
Have provided my Services provider with all applicable medications, snacks, food supplements or similar substances that my child(ren) require, including those listed above;
Assume all risks associated with Services;
ave provided my Services provider with all applicable medications, treats, foods that my dog(s) require, including those listed above;
Authorize My Travel Nanny to:
1. Care for the child(ren) listed above in my absence in my home, including my guest room and in Jasper child friendly activities including those listed above;
2. Administer medications, supplements or other substances listed above in accordance with my instructions and to otherwise take any actions described in this form;
3. Take those steps that it considers reasonable and necessary for the welfare of my child(ren), including transporting them for treatment to the local emergency facility if there is an injury or illness requiring same.
I waive and discharge all claims, suits, losses, damages, liabilities, and causes of action (“Claims”) I may have or incur against My Jasper Nanny, and all of the foregoing’s officers, directors, members, agents, successors and assigns (“Releasees”) arising out or relating to the Services, and release the Releasees and agree not to bring any Claims against them arising out of the Services, including any injury to my child(ren) or any other loss my child(ren) or I may sustain as a result of such Services. This release extends to Claims or portions of Claims that may arise out of or relate to the Releasee’s ordinary negligence.
Confirm that I have read and understood this Registration Form, including the waiver and release provisions, before signing it and have provided accurate and complete information about my child(ren);
Confirm that I have read and understood this Registration Form, including the waiver and release provisions, before signing it and have provided accurate and complete information about my dog(s);
Agree that the waiver and release described above will be binding upon my heirs, next of kin, executors, administrators, and personal representatives.

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