Reliable Nanny Connection Family Registration Form

DISCLAIMER: We believe every family deserves access to safe and dependable care, regardless of cost. If financial considerations are a concern for your family, please let us know if you require payment plans or sliding scale fees based on income. Your peace of mind is our priority.

Are you in need of financial assistance? If yes, what specific accommodations would enable you to access our services?

Name

First NameLast Name

Please provide any relevant information about your situation that would help us understand your accommodation needs.

Phone Number

Please enter a valid phone number.

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency contacts:

What are your children’s names and ages?

What is your hourly range for a professional nanny? $18-35/hr

Do you have any pets in the home? If so, what is their temperament?

Any household allergies?

What are your expectations of your nanny?

Are you open to working with a student nanny through Beaverton School District?

What are your current care needs, schedule, days/times of the week?

What are your child’s comforts, favorite foods, favorite books?

What is your families screen policy?

Will your nanny be required to provide transportation?

Anticipated start date?

Anticipated duration of care?

Would you like to opt into 24 hour on call guaranteed care? $150.00/month for part time care, $250.00/month for full time care. This monthly subscription guarantees childcare and is the only way to do so.

Does your family identify as BIPOC?

Are any children in your home special needs?

Are you a single income household?

Are you open to a nanny with a child accompanying them or do you prefer solo care?

Are you open to a nanny share? Specify if you'd like to host or if you're open to another family hosting. Nanny sharing reduces childcare costs significantly.

Do you agree to read this contract in it's entirety? It is very important you understand our procedures and policies to ensure the best placement experience.

Thank you for choosing Reliable Nanny Connection!
We are committed to making safe, meaningful, and lasting childcare connections.

By signing this form, you agree to the following:

Placement: We will make every effort to place a nanny that fits your family’s needs. Availability may be affected by emergencies, illness, or weather. Emergency backup care is available if you opt into our Care Assurance Plan.

Safety: You agree to provide a safe, welcoming environment for your nanny. Acts of aggression, violence, or unsafe conditions (including aggressive pets) will result in immediate termination of service.
Communication: All scheduling and booking must go through Reliable Nanny Connection, not directly with the nanny.

Booking Fees: A $50 daily booking fee applies for any care requests outside your contracted schedule (with a 4-hour minimum). Booking fees are required to secure care.

Direct Hiring Policy: Booking or referring Reliable Nanny Connection nannies outside of the agency will result in legal action.

Payment Policies:

Refunds (if applicable) take 90 days to process.
Services rendered are non-refundable.
Placement fees apply only when a written or verbal offer of employment is accepted.

Rates Overview:

Daily booking fee: $50/day with 24 hours notice
Sick care: Additional $2/hr

Permanent Placement Fees:

Full-time: $1000 (29+ hrs/week)
Part-time: $750 (up to 29 hrs/week)
Nanny share: $1800 (split between 2 families)
Live-in nanny: $2000

Care Assurance Plan (Optional):

$150/month for part-time
$250/month for full-time
On-call backup care at $30/hr

Urgency Placement: Need a nanny right away? We offer a $600 urgency fee for immediate temporary placement (contracted care within 48 hours).

Payroll & Contracts: Families are responsible for setting up payroll and drafting a contract with their nanny within 2 weeks of the care start date.

Cancellation & Late Policy:

Canceling care with less than 48 hours notice requires paying 50% of the nanny's scheduled time.
Late pickups beyond 15 minutes require an additional hour of nanny pay.
Families must stay in touch monthly while securing a placement. Lack of communication may result in a restart of placement and new fees.

Replacement Policy: If a nanny replacement is needed due to agency error, we’ll provide one at no extra cost. If a family chooses to end care early, a new placement fee applies.

How did you hear about Reliable Nanny Connection?

Please acknowledge your families $100.00 placement fee is due at the time of registration. If you have questions, please reach out directly before submitting this form. Forms without payment will not be reviewed. Please initial in the box below to indicate you understand and agree to this policy. Some cardholders must refresh their browser for payment to process.

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Family Registration Fee This is a one time, non refundable fee that networks you into our connection agency. Once paid your family care profile will be created and your care placement will be initiated. You will be contacted within 24 hours of payment to discuss your availability for in person or virtual interviews with Reliable Nanny Connection networked nannies.

$100.00

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Reliable Nanny Connection Family Reliable Form

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