Parent Registration Form:

East Midlands Nannies and Au Pairs Registration Form - Parents
Family Name: *
Address 1:
Address 2:
Address 3:
Town:
County:
Postcode:
 
Family Members
Mother
Name Occupation
Father
Name Occupation
Children
Childs Name Age Sex
Contact details
Home Telephone *
Home Fax
E mail address
Work Telephone
Mother's Father's
Mobile telephone
Mother's Father's
Family Information
Parents' Ages between
Nationality
Language spoken by family
Religion
Interests
Do You Have any Pets ?
Accommodation

Location of house (city/town/village)

Accommodation
 
Number of
Bedrooms Bathrooms Reception rooms
Nearest town distance
Nearest Language School
Au-Pair Facilities
Will Au Pair have
Own bedroom
Own Bathroom
Own TV
Other
Access to the internet (yes/no)
   
Employment details
Length of employment required
Starting date
Do you require
Additional details
Do you require a driver?
 
yes
Is a car provided?
 
Yes
If you are thinking about having a driver, please be aware that insurance can be very expensive. We cannot guarantee the standard of any of our candidate’s driving and we strongly recommend that you arrange a few lessons from a qualified driving instructor who can assess their capability before allowing them to drive your car.
Is smoking permitted inside the house?
 
Yes
Can the Au-Pair smoke outside?
 
Yes
Have you had an Au-Pair before?
 
Yes
Would you accept male/female?
 
Would you accept a vegetarian?
 
Yes
Do you require a swimmer?
 
Yes
Au-Pair Duties
Describe the duties required
What days will the Au Pair have off?
How often will babysitting be required?
Will you collect the Au Pair on his/her arrival or pay for alternative transport?
 
Yes
Please supply any further information that you consider necessary for us to find you the right Au-Pair:

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