Babysitting Registry Family Questionnaire
Dear Family,
Please complete the following family application. Our Staff will get back with you within one business day.
First Name:
Last Name:
Address:
City: State: Zip:
Major Cross Streets:
Are you in a gated community? Gate Code:
Day Phone: Cell:
Fax: E-mail:
Spouse Full Name:
Spouse Occupation:
Your Occupation:
How many children do you have and what are their ages?
Boys: Ages: Date of Births:
Girls: Ages: Date of Births:
Are you expecting any more children in the next year?
If yes, when and how many?
Do any of your children require special care, medication or therapy of any kind? If yes, please specify:
Is the babysitter required to cook for the children?
Does your child have any special dietary needs?
If yes, specify:
Do you have pets?
If yes, type of pet and how many?
Will the nanny be in contact with your pets?
FAMILY AGREEMENT
I have contacted Nannies & Housekeepers, U.S.A. to help me find household help. Under the provisions of the Babysitting Registry program I understand that all reservations must be made through the agency and is based on availability of babysitters for the time of service. I will pay the annual membership and booking fees in full and sign the contract before the person begins working in my home.
I will not attempt to hire anyone Nannies & Housekeepers, U.S.A. sends me under the Babysitting Registry program without processing all of the necessary contracts through their office. I will not refer any of the babysitters to anyone for potential employment without processing the contract and fee through Nannies & Housekeepers, U.S.A.
I understand the Nannies & Housekeepers, U.S.A. has invested in the interviews and background checks of the candidates and I will allow them to act as the placement agency.
If you agree to the terms listed above type "Yes" in the following space:
