Family Registration Form
The more detailed you are the easier it is for us to find you a good match who will meet your needs. It is important you specify the types of task you want the helpers to do day to day, days off, and any other requirements. This is so we can ensure that the staff are happy with the range of duties and £ pay for the same before putting forward their applciation.
Family Name
*
Mother's name
Father's name
Mobile number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mother's Occupation
Father's Occupation
Family Religion
Details about children
*
Please describe Children's special needs, disabilities, allergies or medical conditions (if applicable):
Our Family Lifestyle is (select all that apply )
Traditional
Flexible & Easy-going
Prefers Routine
Social / Outgoing
Sporty
Musical
Other
Does any one in the household have any mental health conditons?
Please Select
Yes
No
Does any one in your household smoke?
Please Select
Yes
No
Are there any Pets in your household?
*
Staff Required
*
What tasks do you require the helper to perform?
*
Other additional information Please (describe any additional requirements or notes):
If live in nanny required can you confirm if you will provide food and meals (if not will you provide money for meals)?
If live in nanny required, please state accommodation provided for the nanny and upload a picture if possible.
Please upload picture or room or sleeping arrangment for staff
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