Family Registration Form Page 3
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2
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4Desired starting date: ____________________________________________________________________
Salary offer: _________________________________
net / gross (please circle)
Length of employment required (min/max): _______________________________________________
Tax is required to be paid by employers. The agency can provide you with full details on how
to process Tax and National Insurance.
Dates and times do you require your nanny/mothers help/Maternity Nurse to work?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Times
Please give details of duties you require the nanny/mothers help to undertake:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Do you need a driver?
Y
N
If so, will a car be provided?
Y
N
Will you consider a male carer?
Y
N
Will you require a carer with a first aid certificate?
Y
N
Will you require a carer with childcare qualifications?
Y
N
Will you require your carer to travel on holidays with the family?
Y
N
If you require a live in nanny please give information about the accommodation provided
(e.g. own bathroom, etc):
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
G:Hopes and DreamsBABYSITTING ADMIN19_NANNY AGENCY1_PARENTSRegistration
formsRegistration FormsFAMILY REGISTRATION FORM.docx
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