Parent Registration Form

Your Name (required)

Your Email (required)

Phone number (required)

Adress (required)

Town or Borough (required)

Postcode (required)

Country

Occupation

Company name

Number of children (required)

Ages and gender of children (required)

If you have a child or children with special needs, please explain

If your children have any medical conditions, please explain (required)

Your spouse/partner’s name and surname (required)

Your spouse/partner’s occupation

Your spouse/partner’s company name

Job commencement date

What days and times do you need a nanny?

Request about nanny’s language

What salary and benefits are you offering to pay your nanny?

Driver

Any other specific requirements about your nanny? (required)

Do you have any family pets? If yes, please specify (required)

If applicable, would your nanny be responsible for helping care for family pet(s)?

Explain your family schedule (required)

Please describe your family philosophies regarding childcare, discipline, etc (required)

If your child needs to be taken to activities or school, please explain (required)

Please describe any household tasks your nanny will be expected to perform (required)

How did you hear about us? (required)