NannyShare Pre-Registration Form
Street Address 2
State / Province
Postal / Zip Code
Child 1 (Date of Birth)
Child 2 (Date of Birth)
Distance Willing to Travel
Within 1 mile from my home
Within 2-4 miles from my home
Within 5-15 miles from my home
Desired Start Date
As soon as possible
Within 2-4 Weeks
What is your preferred child group size?
I am interested in being a host location
Alternative locations you would be willing to travel to (near work/office, etc)
If you wish to pair yourself with another family, please identify the name of the family below:
Do your children have any specific requirements for care, or any things would you like to share about your family?
Are you willing to undergo a virtual home check (host families only)
Child 3 (Date of Birth)
My child has recently been enrolled in a childcare center.
Would you prefer to be placed with family nearby or a family with children of a similar age?
A Family Nearby
A Family with Children of Similar Age
If "Yes", what is the name of that center?
What Stage are you in the Process?
I already have a group of friends/neighbors and we want to be matched with an in-home educator.
I need help finding a group
What would you like to share about your family with other NannyShare families?
What are you looking for in the NannyShare service?
If possible, and due to our current circumstances/ situation I would like my child's daily interactions to include ...
Going out in public with suggested protection, trying to social distance, seeing small social network group
Very strict, no outside interactions
NannyShare Lead Stage
Pre-Reg Form Complete
Should be Empty: