Initial Consultation Registration
This is our registration page for families interested in our services. A non-refundable, $50 consultation fee is required to schedule your initial consultation.
Your Personal Details
Full Name
*
First Name
Last Name
E-mail:
*
Cell Phone Number
*
-
Area Code
Phone Number
Preferred Method of Contact
Email
Text
Phone
Your City & State
*
Your Needs
Service Needed
*
FT Nanny (30+ hours week)
PT Nanny (less than 30 hours week)
Short Term Nanny (works less than 12 weeks)
Occasional Babysitting
Other
Do You Have Any Specific Needs? (check all that apply)
*
Newborn Care Specialist
Bi-Lingual Speaker
Sleep Training Specialist
Special Needs Child
Household Manager
Family Assistant
Occasional Babysitter
No Specific Needs
Other
Describe Your Ideal Nanny, Please be Detailed and Specific
*
Have there been any incidents of domestic violence in your family that were reported to the police or social service agencies or have you or anyone in your household been convicted of any of the following: Sexual Abuse, Animal Abuse, Registered Sex Offender, or Assault.
*
Yes
No
Consultation Scheduling
Consultation Date: FIRST Choice
*
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Consultation Time: FIRST Choice
*
Exact Time: 5:00pm OR Time Range: 2-5pm
Consultation Date: SECOND Choice
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Consultation Time: SECOND Choice
Exact Time: 5:00pm OR Time Range: 2-5pm
Consultation Date: THIRD Choice
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Consultation Time: THIRD Choice
Exact Time: 5:00pm OR Time Range: 2-5pm
Final Questions
How did you hear about Team Nanny?
*
Google Search
Friend, Colleague or Family Member
Facebook
Instagram
News Article / Blog Post
Other
Anything Else You Would Like To Tell Us?
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