Home
TOP NOTCH AU PAIR - PARENTS REGISTER FORM

Below is our full registration form, if you have time please fill in this form. Alternatively you can always fill in our quick registration form.
PERSONAL DETAILS:
Title: 
First Name: 
Surname: 
Home Address: 
Telephone (H): 
Telephone (W): 
Telephone (Mobile): 
Fax: 
Email: 
Family's Nationality: 
Family's Ethnic origin: 
No. of Adults in household: 
No. of Children in household: 
Ages of Children: 
Languages spoken at home by family: 
FAMILY HEALTH
Are and your children in good health? yes no
Any other important information
regarding the children
(Please give details)  
Does anyone in the family smoke? yes no
Will you accept an aupair who smokes? yes no
DRIVING
Do you need your aupair to drive? yes no
Will you pay for refresher lessons? yes no
Details of driving duties.: 
Will aupair have access to an off duty vehicle? yes no
RELIGION
Do you attend religious services? Yes no
Religion: 
AU PAIR
Au pair start date:  / /
Duration: 
Will you accept male
or female aupairs? 
Preferred nationality or
language skills for aupair: 
Age range of aupair required: 
AU PAIR
Main domestic chores you
wish aupair to perform: 		 Ironing
Cooking
Cleaning
Laundry
Grocery shopping
Sewing
Childcare duties:  School Run
Tidy & clean children's room/s
Prepare children's meals
Supervise homework
Supervise bedtime
Babysit
Other Duties
(please specify): 
Would you need aupair plus? yes no
Do you employ other domestic help (eg cleaner)? yes no
How much money will
you give to the aupair? 
Any additional benefits/arrangements: 
Approximate size of
aupair's accommodation: 
Details of
aupair's accommodation: 		 wardrobe
own bathroom
own TV
stereo
Aupair's accommodation, other details: 
Area in which you live:  City
Town
Village
Rural
Isolated
Please give a brief
description of your home & area: 
Language School, will you pay
for the aupair's English classes yes No
Which day will you make available
for the aupair to attend language classes: 
   

Home