Your mobile number
Home/work telephone number
Address including postcode
Name(s) of Children (including nicknames/preferred name)
Age(s) and date of birth
Is a new baby expected?
If so, when?
Is it a single or multiple birth?
Do you have a regular nanny/babysitter?
Children's hobbies and Interests
Family's hobbies and Interests
Does your child/children have any special requirement? Ie, any allergies or health problems. Please list
Any food likes or dislikes
Would you allow nannies to give Calpol etc to Children?
Doctors Name and Tel no
Other Tel no (e.g. Grandparents/Close Neighbours etc)
Please let us know your requirements
Date of employment to commence
Weekly Salary Offered
Please let us know if any of the following are needed
Full / Part Time
Please detail your families requirements
Would you consider a nanny with her own child?
Does the child have a special toy or comforter?
Do you have any other requirements from a nanny – e.g. can she swim, is she willing to travel, can she snowboard/ski etc?
Do you have any family pets?
Will the nanny be responsible for them at any time?
Will the nanny need her own car?
Please detail below any information that may be relevant to us
Where did you hear of our services?
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