Temporary Client Application

Our Booking Process

Once we receive your completed request, we will confirm receipt and begin finding your ideal candidate match. We will book the most qualified candidates available based on your preferences and include their rate in your confirmation email. At that time, the referral fee will be processed. Please note that if you cancel the candidate or reduce the confirmed hours after the assignment has been finalized, the full agency fee will remain due based on the original confirmation.

Client name*

Client First name Client Last name

Employer

Primary residence address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Service address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Enter Email Confirm Email

Who should be copied on search correspondence?

Phone*

Number of child(ren) who need care:*

Please list required duties and responsibilities:

Will driving be required?*

Yes

(e.g. activities, parks)

If yes, do you require the candidate drive their personal vehicle?

Will parking be provided?*

Yes

Please provide parking details:*

Is everyone in your household in good health at this time?*

Yes

If no, please explain:

What pay rate are you comfortable with?*

$30 - $35

$36 - $40

$41 - $45

$45+

What type of candidate demeanor would thrive best for your childcare needs?*

Do you have a preferred candidate you would like us to reach out to?

(please list any names here)

Our Contract with You

The terms and conditions under which Town + Country Resources, Inc. will provide its services to you are shown below. By ticking "I have read and agree to the above terms and conditions" and clicking "Agree and send," this will become our written contract signed by you. You will receive an email copy of this contract at the email you provided above.

Authorization*

I am authorized to execute this agreement on behalf of the company names above

Agreement*

I have read and agree to the above Town + Country terms and conditions, Privacy Policy and Terms of Use

This field is for validation purposes and should be left unchanged.

Temporary Client Application

Our Booking Process

Our Contract with You

Enhance your home and enrich your life with Town + Country Resources

Contact Info

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