On-Demand Family Portfolio

So you're interested in our agency's incredible back-up care subscription? You've come to the right place to start your journey. Please fill out the form below and we'll be in touch!

Please share as much information with us as you can. We're selective over who participates in this arm of our agency. Our caregivers and families are very special to us and we want to ensure we're the right fit for everyone seeking access to services like these. We're looking forward to chatting with you!

First Name

Last Name

Pronouns

She/Her/HersHe/Him/HisThey/Their/ThemI'd prefer not to say

Occupation Parent 1

Occupation Parent 2

Phone

Street Address

City

State

Zip

How did you hear about our backup network service?

Have you worked with our agency in any capacity in the past?:

What are your main reasons for considering our backup care network?

What kinds of childcare needs do you anticipate? (ex: occasional date nights, coverage when your regular caregiver is unavailable, weekend support, last-minute care, etc.):

How frequently do you think you might use backup care? WeeklyMonthlyFor emergencies onlyUnsure

Do you currently have a regular caregiver in your home? If yes, what is your caregiver's weely schedule?

Tell us a bit about your family (number/ages of kids)

Do your children have any special needs, allergies, or care preferences we should know about?

Do you have any pets in the home? If yes, can you tell us about each pet and their potential interactions with our back-up care providers?

Thank you for submitting your application! We're thrilled to start this journey with you. Our team will carefully review your information and get in touch within the next 48 hours to discuss the next steps. We look forward to connecting with you soon and hearing more about your family’s unique needs.

If you have any immediate questions or concerns, please don’t hesitate to contact us at austin@mygirlfri.com or call us at (919) 813-9533

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On-Demand Family Portfolio

Community & Education
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On-Demand Family Portfolio

Community & Education‍

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Community & Education
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