Families

Household Verification

Complete this form to help us provide a safe, trusted experience. Our team reviews every submission before your household is approved for the Assistly app.

Household Contact

Full name

Required

Home address

Required

City

State

Zip

Mobile phone

Email address

Enter a valid email

Preferred contact method

Phone Text Email

I am at least 18 years of age and authorized to request services on behalf of this household.

Household Safety Information

We have pets that may be present during a task

Property features (check all that apply)

Swimming pool Pond or water feature Trampoline Large property / acreage Steep terrain / retaining walls Stairs / uneven walkways Construction in progress

Other safety considerations

Tasks may involve (check all that apply)

Yard work Gardening Pet care Technology assistance Tutoring Household organization Light cleaning Snow removal (seasonal)

Any adult interacting directly with a student helper through Assistly will be at least 18 years of age. A responsible adult will be reasonably available during any in-home task involving a student under 18, unless otherwise agreed with the student's parent or guardian. I agree not to request student helpers perform tasks involving roofing, electrical work, hazardous chemicals, firearms, heavy machinery, power tools, driving passengers, or any work prohibited for minors.

Emergency Contact

Name

Relationship

Phone

I agree to treat student helpers with courtesy and respect, provide accurate task descriptions, communicate promptly, and maintain a safe environment, in accordance with Assistly's Community Standards.

Certification

Type your full name as your signature

Required

I certify that the information provided is accurate to the best of my knowledge.

By submitting, you agree to Assistly's Terms and Privacy Policy.

Submitted for review

Thanks! We've received your household verification. Our team will review it, and you'll get an email once you're approved to create your account in the Assistly app.