NANTUCKET INQUIRY
inquiry form
Contact Information
Full Name
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Permanent Street Address
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City
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State
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Country
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NANTUCKET Street Address
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City
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State
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Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
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Desired Start date
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Desired End Date
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Support Needed
Select the types of support you need
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Daytime help (laundry, tidying, snacks, activities)
Support during outings/excursions (extra hands, safety)
Infant care (feeds, naps, staying back)
Parent downtime/date nights
Overnight support (feeds, postpartum care)
Other
If you selected "Other", please describe the support you need.
Please use this space to explain, vent, share anything pertinent to you or your family dynamics and the kind of childcare you're looking for on island :)
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Child(ren) Information
Please share details for each child below.
Child 1 Name
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Child 1 Age
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Child 1 Interests, Hobbies, Skills, or Goals
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Child 1 Specific Needs / Temperament / Focus Areas (Potty Training, Interrupting, Confidence, Engagement With Other Kids, etc)
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Child 1 Allergies
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Child 2 Name
Child 2 Age
Child 2 Interests, Hobbies, Skills, or Goals
Child 2 Specific Needs / Temperament / Focus Areas (Potty Training, Interrupting, Confidence, Engagement With Other Kids, etc)
Child 2 Allergies
Child 3 Name
Child 3 Age
Child 3 Interests, Hobbies, Skills, or Goals
Child 3 Specific Needs / Temperament / Focus Areas (Potty Training, Interrupting, Confidence, Engagement With Other Kids, etc)
Child 3 Allergies
Child 4 Name
Child 4 Age
Child 4 Interests, Hobbies, Skills, or Goals
Child 4 Specific Needs / Temperament / Focus Areas (Potty Training, Interrupting, Confidence, Engagement With Other Kids, etc)
Child 4 Allergies
Child 5 Name
Child 5 Age
Child 5 Interests, Hobbies, Skills, or Goals
Child 5 Specific Needs / Temperament / Focus Areas (Potty Training, Interrupting, Confidence, Engagement With Other Kids, etc)
Child 5 Allergies
Any pets?! Do you have a blended family? Are you traveling with other families? Are friends of your children coming along? Please add additional details in accordance with your upcoming vacation!
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