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| First name * |
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| Surname * |
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| Address * |
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| Postcode |
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| Country of residence * |
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| Phone number * |
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Email Address *
(this will be used as your login) |
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| Reconfirm Email Address * |
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Create a password *
(this will be used to login) |
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| Reconfirm password. * |
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| The information below will be visible on the site |
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About your family |
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| How many children do you have? * |
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| What are their ages? * |
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| Do you have children with Special Needs? * |
yes
no
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| Are you a single parent family? * |
yes
no
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| Do you have pets? * |
yes
no
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If so what and how many? |
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| Does any member of your family smoke? * |
yes
no
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| Which best describes the area in which you live? * |
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Preferences |
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| We are seeking a * |
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| We are seeking a * |
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| We are seeking someone with * |
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| We are seeking someone who is * |
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| We require a * |
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| We are seeking someone to work * |
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| We are seeking a * |
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| What languages do you require? * |
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| If other please specify |
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| What nationality do you require? * |
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| Do you have a car available for your nanny? * |
yes
no
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| How long do you require a Nanny/Aupair ? * |
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| Will you require your Nanny/Aupair to help with Housework? * |
yes
no
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| A brief synopsis of your requirement: * |
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Please enter your tag line here *
e.g Spanish family seeking English Bubbly Nanny |
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| please tick here to agree to our Terms and Conditions |
| please tick here to recieve our monthly newsletter |
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| I would like to purchase
To see what membership includes click here |
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