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Registration Form for a Family looking for a Babysitter

PLEASE FILL OUT THE FORM BELOW

First Name * * Required
Last Name * * Required
Partner's Name
Email * * Required * Invalid Address
Tel * * Required
Mobile * * Required
Address Line 1* * Required
Address Line 2* * Required
Town/City* * Required
Postcode* * Required
Country
Type of childcare you are looking for:
Babysitter Daytime yesno
Babysitter Evening yesno
Names and Ages of Children:

1.
2.
3.
4.

Any special needs or instructions?:

1.
2.
3.
4.

Do you have any pets?
Does the babysitter have
to be qualified?

Please write clear
directions to your house:

Do you agree never to directly contact any babysitters
provided by Jourdain's? yesno
How did you hear
of Jourdain's?:

I have read, understood and agreed to the Terms and Conditions
* You need to agree to the Terms and Conditions

 

Sitters Wanted!

You can register here to be
considered as a future
Jourdain Babysitter
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Nanny Vacancies!

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Au Pairs Wanted!

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considered as a future
Jourdain Au Pair
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