Care Haven Nannies Family Registration Form
Thank you for your interest in Care Haven Nannies. Please complete this form to register with our agency. Once we receive your registration, our nanny placement consultant will contact you. Our goal is to find the best -fit nanny to nurture your child/children
Parent 1 Name
*
First Name
Middle Name
Last Name
Parent 2 Name
*
First Name and Last Name
Address
Street Address
City/ State / Zip Code
City
State / Province
Postal / Zip Code
Email Address (es)
*
example@example.com (Provide email addresses of both parents as applicable)
Phone Number
*
-
Area Code
Phone Number
Type of Nanny Needed
*
Full - Time
Part - Time
Temporary
Event,Hotel or Church Nanny
Date Nanny is Needed to Start Work
*
-
Month
-
Day
Year
Date
Weekly nanny salary range you prefer to pay
*
Example:$600.00 -$700.00 per week
Your Required Schedule for the Nanny
*
Examples; M-F Day time: 40 hours or M W TH 3 pm - 11 p.m. 24 hours
Enter the message as it's shown
*
Submit
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