01732 851313
info@elizabethhenrynannies.co.uk
01892 836435
07921 456 417
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BABYSITTING AT HOME REGISTRATION
SPECIAL EVENT BABYSITTING REGISTRATION
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Babysitting at home registration
Please complete the below registration form, we will then contact you and arrange for the relevant payment to be made.
If you require immediate cover please call us on 01732 851313 or 01892 836435
Click here to view our
Babysitting Service Terms and Conditions.
Please leave blank:
Title:
First Name:
Last Name:
Address 1:
Address 2:
Town / Village:
County:
Postcode:
Mobile:
Email:
Confirm Email:
Parent 1 Occupation:
Parent 2 Occupation:
Second Parents Name:
Emergency Contact: Neighbour or Relative
Name:
Telephone Numbers:
Relationship to Children:
Childrens Names
Name:
D.O.B.
School / Nursery attended:
Name:
D.O.B.
School / Nursery attended:
Name:
D.O.B.
School / Nursery attended:
Name:
D.O.B.
School / Nursery attended:
Name:
D.O.B.
School / Nursery attended:
Do you have any pets?
Yes
No
If so please state which:
Do the children have any special requirements? e.g. Strict Religious Practices, Special diet (Vegetarian/Vegan/Kosher), Children with special needs, please detail:
Do the children have any special medical requirements or allergies?
Smoking preferences:
Don't mind
Smoker
Non smoker
Hourly rate offered:
Date of first babysit required (if applicable):
From (time):
to (time):
I wish to register:
One off sit (as agreed)
Quarterly
Half yearly Annually
How frequently do you anticipate you will use our baby sitting service? (Please ignore if this is a one off sit):
Weekly
Fortnightly
Monthly
Occasionally
Any other information?
How did you hear about Elizabeth Henry Nannies?
I confirm that the information that I have supplied is accurate to the best of my knowledge and I have read, understood and agree to abide by
Elizabeth Henry Nannies Babysitting Service Terms and Conditions.
Tick here to agree to this statement:
I Agree
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