Blissful Voyage Family

Parenthood is a Remarkable Journey

You deserve a trusted tribe for the ride! Blessed with the magic and unpredictable spirit of children, we are honored to be entrusted with the privilege of being part of their lives. Our commitment to building meaningful relationships and inspiring children lies at the core of our calling. We guide families and nurture children on their journey of discovery. Let us grow together. Do you have any questions before this step? Let's connect! (909) 74-BLISS 909-742-5477 *You may save this form to complete at a later time.
Name*

PrefixFirst NameMiddle NameLast Name
Location *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
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Phone Number - Cell *
What is your Preferred Method of Contact?*

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Please list Spouse and/or an Emergency contact.*
Include Your Relationship with Contact
What type of assistance are you seeking for your Family?*
Please describe your Family and ideal Candidate!*
Qualifications, Skills, Philosophy, Strengths, Certifications etc. . .
Does your family resonate with a particular philosophy or different approach to education? We love educators who are passionate and experienced with RIE, Montessori, Waldorf, Love and Logic, and Reggio Emilia. We realize that every child and family are different; we will respect the family's wishes.
Are you traveling at all and in need of a traveling provider/travel assistance? If so, why are you Traveling?*
Families assume all travel costs e.g. airfare and lodging.
How many children need care? Tell us about them!*
Personalities, Interests, any Special needs of Child Etc. . . .
Does the child(ren) or anyone in the home have Allergens?*
Please List Mild or Severe Allergens.
Will your Caregiver be responsible for driving or transportation other than to and from your home? Please include the nature of the driving.*
If Driving the Children, Errands, Both, If Own Vehicle Preferred or Family can Provide Etc.
Will your Caregiver be responsible for supervising your Child(ren) in any body of Water? e.g. Pool, Ocean, or Lake. *
We Realize How Sensitive this is and Will Only Send forward Advanced Swimmers and Lifeguard if applicable.
Will Your Caregiver need Vaccines?*
Please list all Vaccines you'd like your Provider to have.
Which Languages should your Caregiver be Fluent in? Please check all that apply!*

EnglishSpanishPortugueseFrenchItalianMandarinOther
What Availability will your Caregiver need? Please list days and hours needed.*
Position Start Date*
Position Term*
Work Hours*
Position Type and Accommodations *
Please choose a Compensation Range*
What is your preferred Method of Compensation?*
Are you offering Benefits? Please check all that apply!*

Paid Time OffPaid HolidaysOvertimeGuaranteed HoursCar ProvidedHealth InsuranceDental InsuranceOther
What Additional Duties Does Your Family need Fulfilled?

Light OrganizationReplenishing Items for ChildrenCooking or Meal Preparation for ChildrenOther
Do you have any animals? If so, how many and what kind?*
How did you hear about us?*

ReferralLinkedInSocial Media
Additional information you would like to provide! We want to know your family to best match your needs! We want exceptional, long lasting, positive relationships for your family! Let's Thrive!
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Parenthood is a Remarkable Journey