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Please complete the form below for your upcoming event. Please provide each child's full details, including their name, age, allergies, and if they have any special requirements.

Please note the number you can reach the nanny team during the event is:


Williamsburg Nanny Agency Childcare Waiver

I, the undersigned parent or legal guardian of the above-named Minor(s), hereby give my permission for my child(ren) to participate in Williamsburg Nanny Agency Childcare at an upcoming event I am attending.

I understand the event organizers will engage the children in active play and crafts and feed them a meal. I confirm that any information related to allergies my child/ren might have is listed above. 

 I, the undersigned, hereby hold harmless, waive, and release Williamsburg Nanny Agency and its childcare staff from any liability, claims, demands, actions, or rights of action related to, arising out of, or in any way connected with childcare participation, including those allegedly attributed to the negligent acts or omissions of the above-mentioned parties.

I understand that the childcare services are provided only while I am present in the building and attending the event. I understand that if my child becomes inconsolable during the class session, I am responsible for attending to my child.

I have read and understood the foregoing assumption of risk and release of liability, and I understand that signing it obligates me to indemnify the parties named for any liability for injury or death of any person and damage to property caused by the above-mentioned parties' negligent or intentional act or omission. I understand that by signing this form, I am waiving legal rights.


Children will be released ONLY to the person who dropped them off.

Please bring a diaper bag if needed.

 Please label all of your child’s belongings with his/her name.

The childcare room will provide age appropriate toys. For safety and hygienic reasons we ask that you refrain from bringing in your child’s own personal toys.

Disruptive or inappropriate behavior will not be tolerated. In these circumstances, parents will be notied immediately.

If a child is inconsolable, parents will be notified and asked to return to the childcare room to assist.

The childcare staff will not administer medications


Thanks for submitting!

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