Nanny enquiry form

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Parent details:

First name*

Last name*

Email*

Phone*

Address*

Children details

Child 1 Name*

Child 1 (DOB)*

Child 2 Name*

Child 2 (DOB)*

Child 3 Name*

Child 3 (DOB)*

Please email us for enquiries involving a family of more than three children.

Allergies/ Medical conditions/ SEN*

Schedule and Availability.

What days of the week do you need a nanny?*

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

What hours do you need a nanny each day?*

Is the schedule likely to change?*

Yes

No

Duties and Responsibilities

What specific duties do you expect the nanny to perform?*

Are there any specific skills or qualifications you require in a nanny?*

What languages do you prefer the nanny to speak?*

Household Information

How many adults live in the household?*

Do you have any pets?*

Transportation

Do you require the nanny to have their own car?*

Yes

No

Will the nanny have access to a family vehicle?*

Yes

No

Is the nanny responsible for transporting the children?*

Yes

No

Salary and Benefits

What is your budget for nanny services?*

Additional Information

Is there any other information you would like to share about your family or your expectations for the nanny?*

Consent and Agreement

I acknowledge that the information provided is accurate and complete to the best of my knowledge.

Signature*

Sign in the box or use the keyboard to type.

Signature field is empty.

Date*

Day

Month

Year

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