New Membership Application Please fill out the information below, and someone from the Easy Care Sitters team will follow up with you in 24 hours or less! Select your location*Our sitters are available in 2 areas in the USA - please select your location.New York CityBoulder / Denver, ColoradoNew Client Membership InformationParent Name* First Last Child Information*Click the plus sign to add additional childrenChild NameChild AGE Address of where babysitting will occur* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Does your entrance have any buzzer/entry requirements we should know about?*Please let us know any special instructions for getting into your building.Primary Phone*Email* Do you have any pets?*YesNoIf yes, please specify what animal and how many.*Membership Desired*Pay-as-you-go: $15/bookingBooking Bundle: $125 for 10 bookingsUnlimited: $150/month for unlimited bookingsDo you have a credit card with a US billing zip code?*YesNoMedical Conditions or AllergiesMiscellaneous/Helpful InformationIf you have a date in mind that you need a sitter for, include that here, along with a start and end time (bear in mind we have a 3 hour minimum). How did you hear about us?*If it was from a friend, mention their name so their next booking can be free!Would you like to sign up for the ECS e-newsletter?You will only receive around 6 emails per year, and we'll never share you address with anybody else. Yes CommentsThis field is for validation purposes and should be left unchanged.