Fundamentals: TRAVEL INFO Family Name*
Email*
How many families are traveling together?* Each "Family” is defined as a household or set of siblings, relative to childcare.
Just our family! Two Families Three Families Group Event / Wedding
Wedding or Event Name* Conference, Wedding or Party Name:
Origin of Travel* If your travel plans include OUTSIDE the state of Hawaii in the 14 days prior to your request for services, please indicate where from.
Mainland International Outer Island (Hawaii State) Kama'aina Multiple
Arrival to Kauai*
Self Quarantine Complete Date* During the COVID pandemic, for those arriving from the mainland, there is a highly encouraged 10-day quarantine. If you have completed your quarantine or are exempt, please indicate your date of arrival and SPECIFY in the following notes.
Quarantine Notes If exempt from the mandated quarantine order, please SPECIFY the exemption and any relevant notes.
Departure from Kauai*
COVID Public Safety Practices To better ensure the health and safety of our families and caregivers, please specify the level in which you most closely practice these standard measures and include any notes/request regarding your preference for your caregivers’ HEALTH practice.
I understand that because the practice of childcare involves maintained touch and close physical proximity over an extended period of time, there may be an elevated risk of disease transmission, including COVID-19. By signing this form, I acknowledge that I am aware of the risks involved from receiving services at this time. I voluntarily agree to assume those risks, and I release and hold harmless the provider and agency from any claims related thereto. I give my consent to receive services from this provider.* LIABILITY If acknowledging the inherent risks associated with childcare, we cannot provide services. Please check back with us when safety concerns have been mitigated by global health.
Generally,* Our family/household is _________ concerned about COVID.
Hand Washing & Sanitizing* When returning home from, or are in a public space where others have shared contact with surfaces, our household regularly sanitizes or washes hands ________.
Mask Wearing* While in public spaces (ie stores, populated areas, social gatherings, etc), our household wears a mask ________.
Physical Distancing* While in public spaces (ie stores, populated areas, social gatherings, etc), our household maintains a STRICT 6 foot distance from others ________.
Social Practices* While socializing, our household only attends social events ________.
FAMILY INFO Parent Contact: Click the “+” to list additional guardians.* ACCOMPANYING Families: You can add more contacts by clicking the “+” at the end of the line.* Please include the best name and contact number for EACH household of children.
Age range of kiddos* Check all that are relevant to care:
Kiddo Names & Ages:* You can add more kiddos by clicking the “+” at the end of the line.
Kiddo Names & Ages:* You can add more kiddos by clicking the “+” at the end of the line.
CHAIN OF CUSTODY: a lot of people (aunts, uncles, grandparents, friends of the family, etc.) can be a part of your vacation… Who is approved to resume care at the end of services? In addition to the listed parents, ONLY the following listed ADULTS can resume care (unless expressly permitted via additional electronically written communication from client to sitter). Please use the “+” to add more names.
ACCOMMODATIONS With wonderful caregivers on each side of the island, we will do our best to find a match with someone nearby! Where will they be hanging with your kiddo(s)?
Location of Accommodations:* Hotel or Condo* If not yet on island, enter “TBD” for your room/unit number
Location Notes:* Address, Neighborhood or Area
BOOKING REQUEST Our availability is limited to the quantity of excellent providers on island. We will not compromise the quality of care, in order to accommodate more business. We do suggest at least 48/+ hours for a single request.
SOMETHING TO KEEP IN MIND: The more specific the request (time sensitive, multiple days, continuity of care, age of caregiver, specialty care, etc), the more limited our availability.
We do have a x4h minimum and x3h starting at 5pm. Some additional fees can incur, depending on the request. Please see our rates section for more information. We will confirm any additional fees with you before booking.
What type of care are you looking for?* How many days are you requesting a sitter?* If you’re not sure, that’s okay! If times are flexible but you know you want a few date nights or adventure days, we've got you covered!
One time Two times Three times Multiple days Not sure yet!
Priority of request:* With multiple bookings, it can be more tricky to accommodate with the same sitter. If specific times are the priority, we can try to split the job up with whoever may be available. Inversely, if your times are flexible, we can book around the same sitters’ availability!
Continuity of care Specific times No preference
Requested dates and times: You can add more requests by clicking the “+” at the end of the line.* Please allocate appx 15 minutes of overlap for transition with the sitter before you need to leave.
* Booking Start Times: For specific tours, there is usually a check in time 30-45 mins prior to your tour time. Be aware our island has ONE highway and traffic can delay a commute up to 20-30 minutes sometimes!
Bespoke Babysitting! Do a little free-write and we will curate your time WITH you! With so much to see/do on Kauai, as well as the requisite relaxing, it can be overwhelming! The beauty of Aloha is going with the flow. If you don’t know your specific times and are willing to work around our sitters’ flexibility, this allows us to find the absolute best match for you!
SCOPE OF CARE Do any children require specialized care?* Please allow us to provide the best available childcare provider for your family. Some sitters have backgrounds in development special needs training, physical disabilities and applied behavioral analysis. The more specific the details, the better we can match you!
* MEDICATIONS: Some sitters may not be comfortable administering medication. If so, it is common practice to have parents administer prior to their departure, as well as have a pre-measured dosage ready for the sitter to administer, should they need to in the parents’ absence. Please discuss with your sitter upon contact.
Allergy severity: Some allergic reactions affect us mildly, while others pose a fatal risk.* Please specify the antigen + response intensity. If anaphylaxis is occurs, please indicate if an Epi-Pen will be available (all sitters are CPR/First Aid Certified and trained in administration of Epi-Pens).
Special Needs or Conditions* Please allow us to provide the best available childcare provider for your family. Some sitters have backgrounds in development special needs training, physical disabilities and applied behavioral analysis. The more specific the details, the better we can match you! Check all that are relevant to care:
Specialty care description THERE IS NO EXTRA FEE FOR CHILDREN WITH SPECIAL NEEDS. Charging more would be punitive and we believe all families are entitled to equal opportunity for safe, reliable, and professional childcare. Please call so we can clarify and ensure the best available caregiver possible!
Special interests or favorite activities:* Our sitters are highly engaging, playful, creative and fun! To better prepare, what do(es) your child(ren)’s like to do/play with? (Ex. Superheros, cars, trucks, things that go, mermaids, unicorns, play-doh, imaginary play, kitchen objects, art/crafts, science, reading, balls, slime, high impact activity, sports, swimming, outdoors, etc.)
Emergency Contact (NOT YOU!) for the unlikely event of a major emergency or natural catastrophe, rendering you and your traveling party as unable to resume care of the child(ren):* Please provide an OFF ISLAND Emergency Contact we can transfer responsibility to (mainland is ok!). This is NOT YOU or the other parent!
CHILDCARE EXPERIENCE Please check all that apply!
Previous childcare experience notes:
Transition* So we can better prepare a smooth transition upon sitter arrival, do you anticipate any difficulty when parents leave?
Notes for Transition:
Transition Trick! Some families have shared success in priming the child(ren) for their new “fun-friend” coming and having the stroller packed prior to the sitter’s arrival. Once all particulars are covered, everyone leaves at the same time, so it’s not the “parents leaving the kids,” but each going on their own adventure! The sensory stimulation of being outdoors and the familiarity of the stroller help ease the baby into the new caregiver, without the visual prompt that their parents aren’t there. Win!
ISLAND TIME Getting on island time means more than a grass skirt and a Mai Tai. You may already know it means the challenge of traveling with jet lagged kids who wake up at 1 am, ready to take on their (and your) day.
* Help prepare us so we can help you!
For multiple families, feel free to add another line by using the “+” sign at the end of the row.
Sleep Notes: Please describe any bedtime routines, sleep cues, prompts, (ie. darken the room, white noise machine on, sleep sack, etc) sleep training practices or tools.
Don’t forget if there’s a special lovie, stuffie, blankie, wubanub or paci used for comfort!
LITTLES (5y and younger)
Toilet Training (12m-4y) Please indicate their projected stage at time of travel or describe in the box marked, “Other."
Mobility for babies and toddlers: Please indicate their projected stage at time of travel or describe in the box marked, “Other."
Teething Please indicate their current stage (if your travel is months in advance, just update us upon your arrival on island!).
Temperament when teething: If you know, you KNOW that teething can affect an entire family. All babies are different; some have little to no discomfort, while teething may induce fevers or earaches for others. Please specify the most relevant or describe in “Other."
* MEDICATIONS: Some sitters may not be comfortable administering medication. If so, it is common practice to have parents administer prior to their departure, as well as have a pre-measured dosage ready for the sitter to administer, should they need to in the parents’ absence.
Infants (up to 6m) Please indicate their projected stage at time of travel.
Traveling with: If you need any insight for on-island rentals, please see our “TRAVEL WITH KIDS” page for a great resource!
Tell us if there is more about what you’re looking for!
HOW WAS YOUR INQUIRY EXPERIENCE? Optional Nervo-meter: After sharing more about your family, and the level of detail we deem necessary, how are you feeling about our services? We know this is a big deal! Please let us know what we can do to better instill your confidence and comfort in the care we provide.
Optional Feedback We appreciate your time in sharing about your families! To better facilitate a continued excellence of care and ease of booking, we would love to hear from you! Please share any suggestions on how we can better accommodate a smooth booking procedure. Mahalo!
Thank you! Upon submitting the form, your inquiry will begin the booking process! We now have your family profile and our reservation team will be in touch with you asap to record your billing info and finalize your booking. Please feel free to call/text with any questions at 808-652-5373. Mahalo!
Michelle
