To expedite your listing please provide the following information. We will process your request and contact you shortly thereafter.
Keeping it Private:
The information you provide will be kept in accordance with our Privacy Policy. (Please refer to our
Privacy Policy Statement
for further information).
Family Name/s:
Address:
Postcode:
Home Phone:
Work No:
Work No:
Mobile No:
Mobile No:
Email:
Email:
Smoker:
Y:
N:
Languages spoken at home:
Family Interests:
Car Supplied:
Y:
N:
Petrol Allowance:
Y:
N:
Tax/Super:
Y:
N:
Things you should know about my children
Names/Ages:
Allergies:
Medication:
Special Needs:
Hours Required
Weekday
Mornings
Day
After School
Evening
24 Hour
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Please check box if required
Participation in family vacations/outings:
Preparation of family meals/snacks:
Preparation of children’s meals/snacks:
Preparation of special dietary requirements:
Care for pets – walking/feeding/bathing:
Cleaning - children/family play areas:
Bathing of children:
Laundry – children/family:
Ironing – children/family:
General errands – shopping etc:
Plan/participate in children’s outings:
Dispensing of medication:
Terms and Conditions
- Private bookings are not to be made between the family (including friends and other family members) and the nanny / babysitter.
- All accounts are paid as per invoice terms.
I agree to abide by the terms and conditions and the information I have provided is true.
Family Checklist
Things you should know about my family:
Name/Age:
Allergies:
Medication:
Special Needs:
House rules for my child/children:
Food they cannot eat:
Things they like to do:
Things they are not allowed to do:
Meal Times:
Bath Time:
Bedtime:
Pets:
I can be reached at:
If you cannot reach me call:
Name:
Phone:
Name:
Phone:
Name:
Phone:
Name:
Phone:
Notes:
