Client Registration

Please fill in the following form to register as a client for our childcare services

Name

Email

Address

Telephone

Mother's Nationality

Mother's Occupation

father's Nationality

Father's Occupation

Family Region

number of children , age, sex

Special needs/Dietry Requirements

Any Pets

Requirements

Daily or live-in

Living arrangements if live in Nanny

Driver

Car provided during working hours

Yes No

Start Date

length of employment

hours per day

Days per week

Babysitting

Yes No

if so how many nights

Proxy Parenting

Yes No

Shared or Sole Charge

Shared Sole

Would you like the Nanny to travel with the family

Yes No

Gross Annual Salary

Any extra tasks/duties/requirements

Location