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Nanny Placement Family Registration

Let's Find the Perfect Match for Your Family

Complete the form below to share your household's needs and preferences. A dedicated Family Placement Specialist will review your information and contact you within 1–2 business days to begin your personalized search.

We're here to support you every step of the way.

Family Contact Information

Full Name of Parent/Guardian*

Primary Email*

Primary Phone*

Spouse/Partner Full First Name*

Spouse/Partner Email*

Spouse/Partner Phone

Preferred Method of Communication*

Household Details

Home Address*

City*

State *

Zip*

Is this your primary residence?*

Do you have other homes where care may be needed (e.g., seasonal or travel)? *

Number of adults in the household*

Number of children (please include ages)*

Childcare Needs

What type of care are you seeking?*

Full-time (at least 40 hours per week)

Part-time (less than 40 hours per week)

Permanent/Long-term (at least a year)

Temporary/short-term

Occasional/As Needed (Sitter Service)

Live-in

Live-out

Newborn Care Specialist (NCS)

Special-needs caregiver

Household Manager

Preferred start date*

Typical schedule*

Any specific language, education, or skill preferences?*

Household Expectations

Will the caregiver be expected to drive?*

Will the caregiver travel with your family?*

Will the caregiver assist with household tasks (laundry, meal prep, errands)? *

Are there pets in the home? (Please specify)*

Employment & Compensation

Proposed hourly rate or salary range*

Will you offer paid time off, holidays, or other benefits?*

Children’s Information

Child 1- Name*

Child 1 - Age and Date of Birth*

Child 1 - Gender*

Male

Female

Child 1 - School or daycare schedule (if applicable)*

Child 1 - Allergies, medical needs, or dietary restrictions*

Child 1 - Personality traits or behavioral notes*

Child 1 - Developmental milestones or areas of focus (e.g., speech, motor skills, socialization)*

Child 1 - Any special needs or support requirements*

Child 1 - Interests, hobbies, or favorite activities*

Child 2 - Full Name

Child 2 - Age and Date of Birth

Child 2 - Gender

Male

Female

Child 2 - School or daycare schedule (if applicable)

Child 2 - Allergies, medical needs, or dietary restrictions

Child 2 - Personality traits or behavioral notes

Child 2 - Developmental milestones or areas of focus (e.g., speech, motor skills, socialization)

Child 2 - Any special needs or support requirements

Child 2 - Interests, hobbies, or favorite activities

Additional Questions

What qualities are most important to you in a caregiver?*

Any cultural, religious, or lifestyle preferences we should consider?*

Are you expecting another child?*

Yes

No

Are you planning on having additional children?*

Yes

No

How did you hear about The Noble Nanny?*

Signature*

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WHERE CARE MEETS COMPASSION

info@thenoblenanny.com

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