Client registration

Contact details

Name *
Email address *
Home telephone *
Mobile telephone Work telephone Address *
Country *

Family details

Marital status Choose marital status Single Married Separated Divorced Widowed Engaged Cohabitating Mother’s nationality
Father’s nationality
Mother’s occupation
Father’s occupation
Family religion
Family residence type Choose residence type House Flat *
Any special needs?YesNo
Do you have pets?YesNo

Type of staff required

I require a Choose type of staff Nanny Maternity Nurse *
Net weekly salary offered *
Daily or live in Please choose Daily Live-in *
Please describe the staff accommodation
Experience Please choose Essential Preferred Not Essential *
Driving licence Please choose Essential Preferred Not Essential *
Non-smoker Please choose Essential Preferred Not Essential *
Start date (dd/mm/yyyy) *  

Childcare responsibility details

Hours of work per week *
Shared care?YesNo Sole charge?YesNo Do both parents work?YesNo Any baby sittingYesNo Nights per week Choose baby sitting frequency 0 1 2 3 4 5 6 7
Nursery duties only?YesNo Any extra duties?

Additional information

Please give below any additional information or benefits you may feel will be helpful in finding the most suitable staff for your family(for example accommodation, car, holidays, second residence).

How did you hear about Nannies Incorporated?

I have read and accepted Nannies Incorporated terms of business and fees. This is is to be ticked before the form can be submitted.

For confidentiality purposes and registration procedure, we will only ask you to provide us with your credit details when we have established contact personally and are effectively working on your file.