Registration Form

Please complete the form below with your child/ren details.

All personal information will be kept in the strictest of confidence.

Parent/Adult/Guardian Full Name

Email (Invoices/Booking Confirmation)

Address

Phone

Child/ren Full Name & Date of Birth DD/MM/YYYY

Does your child/ren have a medical and/or Health condition to be made aware of ?

Does your child/ren have a Food intolerance and/or Allergy to be made aware of ?

What services are you keen to enquire about ?

Is there parking available on your road ?

May House Nanny has a social media platform and may take photos & videos of your child/ren for learning and development purposes. On occasion, this may be shared on the nanny facebook, instagram or website page. Please choose one of the following:

I give consent for my child/ren photo & video to be shared onto May House Nanny social media platforms.

Please blur out my child/ren face when posting photo / video onto May House Nanny social media platforms.

Please do not post any photos & videos of my child/ren on any social media platforms

Should you wish to mention any other details, please share it in the box below:

By ticking this box I have read and agree to the terms & conditions when making a booking with Many House Nanny

Signature

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