Nanny/caregiver Agreement Form

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Nanny/Caregiver Agreement
Members may add a nanny to their Premier Miramont membership, (Caregiver to any
membership)
 Nanny/caregiver must be 18 or older, and must sign a Facility Waiver.
 Nanny/caregiver may NOT use the club for personal use, only to escort and monitor the
children/members at the pool or basketball court.
 More than one nanny/caregiver may be on the membership, although only one
nanny/caregiver may be in the club with the members at a time.
 If the Main member has already signed a Card on File (COF) agreement for purchases
around the club, the Nanny/caregiver automatically has authorization to use this COF as
well.
Signature of Nanny/caregiver
Date
Main Member Signature
Date
______________________________________________________________________________
Print Main Member Name

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