Registration for Families

Date job taken*
     
Full Name Person Completing Form (including family name)*
Address*
Marital Status*
Nationality*
Home Telephone Number
Mobile Telephone Number(s)*
Email Address*
What type of childcarer are you looking for?*
Are you on Maternity Leave?*
What date does the job start?*
     
Do you require a childcarer with qualifications?*
How much experience do you require from your childcarer?*
Do you have an age range in mind for your childcarer?
Will you accept a childcarer whose primary language is not English?
Are you looking for share or sole charge care?*
If you are looking for a live-in childcarer, please give details of accommodation offered?
Name of child or children and their age(s)
       
What days & hours do you require childcare for him/her/them*
Do you require that the childcarer can drive?
Would you provide a car for use while the childcarer is on duty or do you wish the childcarer to use their own vehicle?
Is there parking available for the childcarer’s car?*
Would you consider a childcarer with their own child?*
Do either parent work from home now or will be in the future?*
Do any of the children have any special dietary requests?*
Do your children attend nursery or school?*
What duties do you expect the childcarer to undertake?*
Do you have any pets?*
Is your household a smoking environment?
What salary / allowance are you looking to pay per week?*

About the Mother

Title
First name
Surname
Home Telephone Number
Mobile Phone
E-mail Address
Home Address
Post Code
Nationality
Religious Belief
Occupation
Do you work from home?
Working Hours

About the Father

Title
First name
Surname
Home Telephone Number
Mobile Phone
E-mail address
Home Address
Post Code
Nationality
Religious Belief
Occupation
Do you work from home?
Working Hours

Other Details

How did you hear about Home Star Childcare Ltd?
If recommendation, by whom?
If magazine or other, please specify
Accepted Terms and Conditions of Business and Fees*

Disclaimer

I confirm that the information on this online form is accurate and supplied in good faith to the best of my knowledge. By submitting this application you are agreeing to the Terms and Conditions of Business set out in previous pages

Signed*

Registered Office Address

Home Star Childcare Limited
3rd Floor, 207 Regent Street
London
W1B 3HH
United Kingdom

Open 7am to 9pm Monday to Sunday

T: 0798 523 6663
E:

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