Parent Childcare Application Form


Looking for the perfect caregiver for your child?

Please enter your details below so we can understand your requirements and help you find one of our quality in-home caregivers for your children/tamariki.

If you have any questions or would prefer to speak to someone in person, just drop us a line on 0800 366 878.

 

 

Parent application for childcare

Parent/Guardian Details
First Name*
Last Name*
Day Tel (inc prefix)*
Mobile
Evening Tel (inc prefix)
Street Address 1*
Street Address 2
Suburb*
Town/City*
Postcode*
Email*
Date of birth
How did you hear about us?
What type of childcare are you looking for?*
If you want childcare to take place in your own home, do you have a fenced outdoor area?
If you are looking for an in-home caregiver, which suburbs would you consider? (Please list suburb and town eg. Grey Lynn, Auckland)

Please list the names and ages of your children for whom you are seeking care:

Child 1
First and Last Name*
Date of birth

Child 2
First and Last Name
Date of birth

Child 3
First and Last Name
Date of birth

Child 4
First and Last Name
Date of birth

What days and times would you like childcare for? (Eg. Monday - 8am-3pm)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Childcarer Requirements
Do you require your Nanny/Childcarer to have a full and current Driver's License?
What is the approximate hourly rate you would be willing to pay for childcare?
What is the approximate date you require childcare from?
Any further questions or comments?

* indicates required fields