La Tata Parent Registration Form

La Tata is a childcare service that aims to provide the best Tata’s (nannies) to parents in need of consistent childcare.

In order to use our service, we request that you complete the following form with accurate information.
Child(ren)

If you have more than three children, please add the children who need "main care" in this section and add more children in the "additional notes" section.
Child's Name

First NameLast Name
Date of Birth

DayMonthYear
Gender

MaleFemale
Child's Name

First NameLast Name
Date of Birth

DayMonthYear
Gender

MaleFemale
Child's Name

First NameLast Name
Date of Birth

DayMonthYear
Gender

MaleFemale
Additional Notes
First language spoken
Language spoken in the home
Parent 1
Title

MrMrsMsDrOther
Parent's Name

First NameLast Name
Relationship to the child
Contact Details
Home phone number

Area CodePhone Number
Mobile phone number

Area CodePhone Number
Work email address
example@example.com
Parent 2
Title

MrMrsMsDrOther
Parent's Name

First NameLast Name
Relationship to the child
Contact Details
Home phone number

Area CodePhone Number
Mobile phone number

Area CodePhone Number
Work email address
example@example.com
Address for child and parent

Street Address

Street Address Line 2

City/TownCounty

Postal Code
Other addresses where the child may reside

Street Address

Street Address Line 2

City/TownCounty

Postal Code
About Your Child

Tell us some key things about your child.
Does your child have any special needs (including speech concerns, mobility assistance, learning difficulties, etc.)?
Does your child have any medical conditions, including allergies and intolerances?
Parent Declaration*

I have read this form and understand and accept that: (a) there is no guarantee that a Tata is immediately available for my child; (b) the length of time that my child’s name has been on the waiting list WILL NOT be taken into account when places are allocated.
Should be Empty:

Child(ren)

Parent 1

Contact Details

Parent 2

Contact Details

About Your Child