Family Registration Form CAR 2021-2022

ALL children who are in the home should be listed, even if they are older, not usually at home, or in shared custody with another parent.
Child 1 Name *

First Name Last Name
Child 1 Birthday *

Month Day Year
Date
Child 2 Name

First Name Last Name
Child 2 Birthday

Month Day Year
Date
Child 3 Name

First Name Last Name
Child 3 Birthday

Month Day Year
Date
Child 4 Name

First Name Last Name
Child 4 Birthday

Month Day Year
Date
Do any of your children attend school, preschool, or MDO programs? *

NO YES
Which school, preschool, or MDO program is used by your family?
This is important to help determine the commute!
If your children attend school, preschool, or MDO, please describe the typical schedule.
Please describe the anticipated schedule for the nanny. *
**We do have a 4 hour minimum payment required for each time a nanny comes to your home. You are not required to use care the full 4 hours.