Family Application
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Note: If completing the family application for a Nanny Share both families must complete two separate applications.
Parent 1/Legal Guardian First and Last Name
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E-Mail
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Phone
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Parent 2/Legal Guardian First and Last Name
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E-mail
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Phone
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Address, City, State, Zip Code
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Child Information- Please include the following:
Name(s)
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Age(s)
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Gender(s)
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Allergies
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Special Needs
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Daily Routine
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Do you have pets?
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Will your pets require the nannies attention? Explain.
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Do you have a housekeeper?
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How often does the housekeeper clean?
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Have you had childcare in the past? If yes, explain.
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Family Preferences
Meal Preparation “Do’s and Don'ts
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Screen Time Rules (i.e. television, computer, ipad, phone, etc.)
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Bedtime Routine
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Discipline Preferences
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Location of Emergency Supplies (kids medication, allergy medication, first aid kit, fire extinguisher, etc)
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Emergency Contact Information
Address, City, State, Zip Code
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Name: First and Last
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Phone
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Email
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Nanny/Sitter Expectations
Check all that apply:
Rates, Dates, & Times
Nannies
How often will you pay your nanny? (i.e. every Friday, bi-weekly or etc.)
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Will you withhold taxes?
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Will you offer your nanny benefits? (i.e. paid vacation, paid holidays, paid travel with the family, health insurance, bonuses, tuition reimbursement, etc.)
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Sitters
Time(s) Request:
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Hourly rate you would like to offer the sitter
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Date(s) Request:
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