Family Profile
Complete this form to start your family profile. Here you will provide your family's background, schedule and service needs, and any other questions we have to better understand your requirements. This information will help us tailor our services to best meet your family's unique needs.
Parent 1 Name:
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First Name
Last Name
Parent 2 Name:
First Name
Last Name
Home Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Ages and Names of Children
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Can you tell us more in detail about what your child care needs are? Ex: Start and End Time, Hours Per Week, Start and End Dates.
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Do you have pets? If so, explain how many and what kind.
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Will any parents be home during the service?
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Do you have any special requests for your nurturers? Ex: Bilingual, Tutoring, Infant Experience, etc.
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What is your family background and what do you all like to do for fun? Ex: What you do for a living? What's your family's personality like? What you or your family like to do for fun? Do you have any religious practices or dietary restrictions?
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What specific job duties are you in search of (Ex: bottle washing, snack prep, transportation, etc.)
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What is your preferred communication style with your nurturer and family?
Text updates and send pictures occasionally throughout shift.
Text concerns and ask questions when needed.
I prefer to only be contacted for emergencies.
Occasional Phone and Video Calls Throughout Shift.
Do your children have any medical conditions? Ex: Allergies, Asthma, Frequent Urination, Eczema, ADHD/ADD, sensory issues, etc?
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Do your children have any favorite toys, games, or special requests? Ex: sleeps with stuffy, play sound machine for naps and throughout the night, afraid of the dark, loves light up toys, and imaginary play, etc.
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Describe what a perfect nurturer would be like for you and your family?
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How did you hear about? If referred by a family, please provide the family's name for you to both receive a one hour free child care service.
Submit
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