Parent Registration

By clicking each of the following you are verifying that your family meets ALL Haven Nanny Services Family Requirements (all are required):*

My home is a safe, stable environmentI have a detailed job description for my future nannyI understand that childcare placement typically takes four to six weeks, but could take longer depending on the families requirements and available nannies.I understand that salary and other compensation (i.e. benefits) will be established between the caregiver and family, not between the caregiver and Haven Nanny.

Primary Care Giver(s)

List All Primary Caregivers Below:*

Address Where Childcare Will Take Place:*

Street Address

Street Address Line 2

CityState

Zip Code

Upload Family Photo (used for identify verification)*

Do you consent to potential nannies viewing your family photo?

YesNoOther

Employment

List All Primary Caregivers Below:*

Anything your perspective nanny should know about your employer, type of work, your work schedule, or where your work takes place?

Custody & Court Orders

Are there any custody or other court orders regarding your child/children?*

YesNoOther

Do you plan to share this information to your nanny?*

YesNoOther

Are there any legal considerations or arrangements (such as custody orders) that could affect the scheduling or duties of your nanny that you would be willing to discuss?

Childcare Information

Add ALL Children Below:*

Schools: *

Special Needs:*

Please explain each Special Needs and the child they are associated with below, being sure to add additional Special Needs that were not listed above:

Hobbies and Interests:*

Please explain each Hobby and/or Interest and the child they are associated with below, being sure to add additional Hobbies and/or Interests that were not listed above:

Placement Preferences

About Your Family*

Tell us about your family and your childcare needs...

Childcare Start Date*

Expected Length of Nanny Employment*

Type of Nanny Employment*

Childcare Responsibilities Needed (Select ALL That Apply):*

Household Responsibilities Needed (Select ALL That Apply):*

Health and Safety Needs (Select ALL That Apply):*

Communication and Planning Needs (Select ALL That Apply):*

Nanny Vehicle Expectations (Select ALL That Apply):*

Special Requests Or Requirements (Select ALL That Apply):*

Please add addition information not listed above:

Please Indicate The Times Which You Need A Nanny

Please Select the Nanny Hourly Range Your Are Prepared To Pay Your Nanny (Additional Children and/or More Experience will Require a High Hourly Rate):

Date*

MonthDayYear

Your Full Name*

First NameMiddle NameLast Name

Type a question*