Parents registration formParents Registration Form Name Dear Family If you are looking for a Nanny, Governess, Maternity nurse, Nanny-housekeeper, Mothers help please fill in our Parents Registration form and one of our experienced consultants will contact you directly to discuss your requirements in more detail. If you would like to talk over the requirements beforehand, please call us directly on 07877 096755. Required * Personal Details First Name * Current address * Nearest Tube/train station * Mobile Number Last Name * Postcode * Telephone Number * Email Address * Number of children * 1 2 3 4 5+ 1st child * Girl Boy Age * 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Expecting a baby Yes Baby due date Requirements I require * Nanny Governess Maternity Nanny Nanny Housekeeper Mother's Help Tutor Housekeeper Other domestic staff (please specify) Other Live-in/Live-out * Live-in Live-out Permanent/temporary * Permanent Temporary Duration * Full/Part-time * Full-time Part-time Language * Arabic Cantonese French German Italian Japanese Mandarin Portuguese Russian Spanish Working hours* From * To * Driver's licence * Yes Not necessary Salary/weekly pay (net) * Expected start date * Duties * Tell us about your ideal nanny * Additional info How did you find out about us? * Google or similar Magazines Friends Other Babushka Childcare collects personal information when you register with us to use our services. We will use this information to provide the services requested, maintain guarantee records and, if you agree, to send you marketing information. Babushka Childcare will not share your information for marketing purposes with other companies. For more information explaining how we use your information please see our Privacy Policy and Terms and Conditions. I have understood and accepted Babushka Childcare's Privacy Policy and Terms and Conditions. * Yes Information Summary