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Home phone
Mobile number
Email
Nationailty
Religion
Please select
No
Mother only
Father only
Are you a one parent family
Father occupation
Mother occupation
Family intrests
Would you consider a male aupair
Do you live in a House
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1
2
3
4
5
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Number of Bedrooms
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1
2
3
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Number of Bathrooms
Pets
Name of children
Ages of children
Gender
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City
Town
Village
Rural
Other
What type of area do you live in
Nearest Underground
Nearest British Rail
Nearest language school
Distance to language school
When would you want aupair to start
How long do you want aupair to stay
Please select
Yes
No
N/A
Would you prefer a driver
Please select
Yes
No
N/A
Will the aupair have to use the family car
Would you prefer a non smoker
What do you require from an aupair
Will aupair have own
What level of english would you accept
Please attach a family picture
Any other information
Yes
No
Yes
No
Flat
TV
Bathroom
Room
Internet
Au-pair
Nanny
Mothers help
Housekeeper
Type of childcare help required
Days and hours of employment
Start
Finish
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Live in
Live out
Living arrangements
Forename
Surname
Address
I agree to terms and conditions
How many weekly hours do you need?
How much weekly pocket money will you pay?
Family registration form
Families info
Fees
Terms
Phone: 0199 271 5122
Mobile: 0785 332 8226
Email:
info@aupairka.co.uk
