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For Mother's Help
Introduction
How to Register

 

 

 

 

 

Client Registration Form

Please read our Terms and Conditions before completing your application 

If you have any queries before you complete your registration, please contact us:
ABC Au Pairs 42 Underhill Road, London SE22 0QT, ENGLAND
Tel: +44(0)20 8771 1918, 
Email: contact@abc-aupairs.co.uk  

 

 

REGISTERING FOR
A MOTHER'S HELP

Contact Information
Name
Address
Post code
Home tel
Mobile
Email
Business tel
Household Information

Number of adults in household
Name(s) of adults in household Occupation   Home based
Full time
Part time 		Yes
No
Full time
Part time 		Yes
No
Full time
Part time 		Yes
No

Names and ages of children in household
Type of accommodation
No. of bedrooms
No. of bathrooms
Distance from shops, transport
Other local amenities
Other domestic help
Pets in the house
Any special circumstances
Family interests
Personal attributes best suited to your family
What Type of Carer? Live-in Live-out
Childcare duties
Take children to/from school Yes No
Tidy & clean children’s rooms Yes No
Cook children’s meals Yes No
Supervise homework Yes No
Supervise bedtime Yes No
Babysitting – state how much
Other
Domestic duties
Wash up/clear after meals Yes No
Help with cooking Yes No
Vacuum/Dusting Yes No
Laundry/Ironing Yes No
Tidying Yes No
Walk/Feed pets Yes No
Comments / Other duties
Timetable - please state the daily hours of work
Monday Friday
Tuesday Saturday
Wednesday Sunday
Thursday
Total number of hours to be worked each week?
Do you require a driver? Yes No
If yes, will you provide driving lessons? Yes No
Does anyone in your household smoke? Yes No
Would you accept someone who smokes outside the home? Yes No
Are you willing to accept a male carer? Yes No
Accommodation provided for live-in helper - please describe
Remuneration offered
Other benefits
Date required
Expected stay
Have we supplied you with a carer before? If not, please supply contact details for previous carer. If you have not had any previous help, please provide contact details for a responsible referee who has known you for two years.
How did you hear of ABC Au pairs?

I have received and accept the  Terms & Conditions of ABC Childcare and agree to pay the placement fee accordingly upon confirmation of the placement

 Yes No

 

ABC Au Pairs, London, UK
Tel: +44(0)20 8771 1918
email: enquiries@abc-aupairs.co.uk