Client Registration
Contact Details
Name
*
Address 1
*
Address 2
Town/City
*
County
*
Post Code
*
Telephone
*
Home
Mobile
Office
Email
*
Family Details
Date Of Birth
Gender
Child 1
N/A
Boy
Girl
Child 2
N/A
Boy
Girl
Child 3
N/A
Boy
Girl
Child 4
N/A
Boy
Girl
Babies due
Special Needs/Dietary Requirements
Description of family home. (e.g. detached 4 bedroom house with large garden in village location)
Comments. (Please describe all pets.)
Childcare Requirements
Nanny
Sole Charge
Mother's Help
Shared Charge
Maternity Nanny
Do you work from home?
Live In/Live Out
Daily / Live Out
Live In - Own Room/Own Bathroom
Live In - Own Room/Shared Bathroom
Live In - Annex
Live In - Other
Will a car be provided?
No Car
On Duty Only
On & Off Duty
Permanent
Start Date
Temporary
End Date (Temp)
Days of Work
Mon
Tue
Wed
Thu
Fri
Sat
Hours of Work. Are you flexible on working days/hours?
Budget
per Hour
per Week
net
gross
Note: As an employer you are required to pay your nanny's tax and NI contributions.
*
I have read and accept the
Terms & Conditions of Business
.