Parents' Registration Form

Please complete the form below and click 'Send' to send your information to us.

Your details will be held in the strictest confidence and will not be shared with any third parties.

 

Before completing this form, please ensure you have read, and agree to, our Terms and Conditions.

 

 

*Your Name
Address (including postcode)
*Phone Number (Daytime)
Phone Number (Evening)
Phone Number (Mobile)
*E-Mail Address
* Child 1 Details	- select - Boy Girl Name: DOB:
Child 2 Details	Boy Girl Name: DOB:
Child 3 Details	Boy Girl Name: DOB:
Child 4 Details	Boy Girl Name: DOB:
Please give details of any special needs
Please give details of any animals in the household
*Type of childcarer required	- select - Nanny Mother's Help Maternity Nurse Baby Sitter    *Live-in or -out?  - select - Live-in Live-out
*Please give details of days and hours required
*What salary are you willing to pay?	£ - select - Daily Weekly Monthly
*Start Date (approx)
*Do require a driver?	- select - Yes No
Is there a car available?	- select - Yes No
Please note: some nannies are willing to use their own car to transport children. This must be arranged with the nanny at interview stage and a mileage allowance agreed.
*Do you work?	- select - Yes - from home Yes - not from home No
*How did you hear about Angels Nannies and Maternity?
Please give us any other details you feel may be relevant
* I have read, and agree to, your terms and conditions
* = required fields

 

Call Angels Nannies and Maternity now on (01604) 757544