Families registration

Surname

Forename

Address

Home phone

Mobile number

Email

Nationailty

Religion

Are you a one parent family
Please selectNoMother onlyFather only

Father occupation

Mother occupation

Family intrests

Type of childcare help required
Au-pairNannyMothers helpHousekeeper

Living arrangements
Live inLive out

How much weekly pocket money will you pay?

How many weekly hours do you need?

Would you consider a male aupair
YesNo

Do you live in a
HouseFlat

Number of Bedrooms
Please select12345More

Number of Bathrooms
Please select12345More

Pets

Name of children

Ages of children

Gender

What type of area do you live in
Please selectCityTownVillageRuralOther

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

Would you prefer a driver
Please selectYesNoN/A

Will the aupair have to use the family car
Please selectYesNoN/A

Would you prefer a non smoker
YesNo

What do you require from an aupair

Will aupair have own
RoomBathroomTVInternet

What level of english would you accept

Any other information

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