Family Registration Form – All In One Services

Family Registration Form – Nanny Services (SSL Secured)

Please Note: More Than A Nanny specializes in Full Time, Live Out Career Nannies who work a minimum of 30-60 hours per week and earn around $20-35 per hour on average.

Parent Name #1

Parent Name #2

ADDRESS

Phone:*

Other Phone:

Email:

2nd Email:

Names & Ages of Children:*

Care Type Needed:*

Live Out or Live In?*

Job Description:*

Upload Job Description (optional):

Work Schedule Needed (Days/Hours):*

Any Special Needs or Circumstances?

Will Parents be Working? If so, inside or outside the home? *

Start Date Needed:*

Driving (Check all that apply):*

Driver Not RequiredDriving Needed to Commute to WorkDriving of Children Required (nanny must use own car)Driving of Children Required (family car is available)

Salary Range Offered:*

Will taxes be deducted from the above salary range listed?*

Please describe Pets:*

Have you hired a Nanny previously? Please Describe likes/dislikes:*

Other Household Staff:

How did you hear about us?*

Additional comments,questions or concerns: