Family Registration Form New It takes less than 3 minutes to complete this form - once youโre done, weโll call you within the hourContact DetailsFirst NameLast nameAddressCity/Village/TownCountyPostcodeNearest Airport- Select -DublinCorkShannonKnockLondon HeathrowLondon GatwickLondon StanstedLondon CityOtherEmailMobileMother's OccupationFather's OccupationPreviousNextYour Family Please upload up to 4 photos, including of your family, your house and the au pair/parents' helpโs room. (Each file should be 5MB or less.)Photo 1Choose File Photo 2Choose File Photo 3Choose File Photo 4Choose File Names and ages of your children:What kind of help are you looking for? Au Pair 20-25 hours Au Pair Plus 30-35 hours Summer Au Pair 25-35 Parents' help 35โ45 HousekeeperDo you have any pets? Yes NoIf yes please specifyPreviousNextYour RequirementsDo you need someone who can drive a car? Yes NoIf yes, please specify:How long are you looking for someone to stay for? 2-3 Months 3-6 Months 6-12 Months 12 MonthsStart DateHow much are you paying weekly?- Select -100150200250300350400450500550600650700750Currency- Select -ยฃโฌPreviousNextYour HomeWhich of the following is available to your au pair/parentsโ help? Own room Own bathroom TV Internet access Use of carWhich of the following will you want your au pair/parentsโ help to carry out? Childcare Housework Washing/ironing General tidying Independent cooking Helping with the cooking Driving Evening babysitting Caring for petsTimetableMonday AM Start- Select -FREE TIME00:0000:1500:3000:4501:0001:1501:3001:4502:0002:1502:3002:4503:0003:1503:3003:4504:0004:1504:3004:4505:0005:1505:3005:4506:0006:1506:3006:4507:0007:1507:3007:4508:0008:1508:3008:4509:0009:1509:3009:4510:0010:1510:3010:4511:0011:1511:3011:45Monday AM End- Select -FREE TIME12:0012:1512:3012:4501:0001:1501:3001:4502:0002:1502:3002:4503:0003:1503:3003:4504:0004:1504:3004:4505:0005:1505:3005:4506:0006:1506:3006:4507:0007:1507:3007:4508:0008:1508:3008:4509:0009:1509:3009:4510:0010:1510:3010:4511:0011:1511:3011:45Monday PM Start- Select -FREE TIME12:0012:1512:3012:4513:0013:1513:3013:4514:0014:1514:3014:4515:0015:1515:3015:4516:0016:1516:3016:4517:0017:1517:3017:4518:0018:1518:3018:4519:0019:1519:3019:4520:0020:1520:3020:4521:0021:1521:3021:4522:0022:1522:3022:4523:0023:1523:3023:45Monday PM End- Select -FREE TIME12:0012:1512:3012:4513:0013:1513:3013:4514:0014:1514:3014:4515:0015:1515:3015:4516:0016:1516:3016:4517:0017:1517:3017:4518:0018:1518:3018:4519:0019:1519:3019:4520:0020:1520:3020:4521:0021:1521:3021:4522:0022:1522:3022:4523:0023:1523:3023:45Tuesday AM Start- Select -FREE TIME00:0000:1500:3000:4501:0001:1501:3001:4502:0002:1502:3002:4503:0003:1503:3003:4504:0004:1504:3004:4505:0005:1505:3005:4506:0006:1506:3006:4507:0007:1507:3007:4508:0008:1508:3008:4509:0009:1509:3009:4510:0010:1510:3010:4511:0011:1511:3011:45Tuesday AM End- Select -FREE TIME12:0012:1512:3012:4501:0001:1501:3001:4502:0002:1502:3002:4503:0003:1503:3003:4504:0004:1504:3004:4505:0005:1505:3005:4506:0006:1506:3006:4507:0007:1507:3007:4508:0008:1508:3008:4509:0009:1509:3009:4510:0010:1510:3010:4511:0011:1511:3011:45Tuesday PM Start- Select -FREE TIME12:0012:1512:3012:4513:0013:1513:3013:4514:0014:1514:3014:4515:0015:1515:3015:4516:0016:1516:3016:4517:0017:1517:3017:4518:0018:1518:3018:4519:0019:1519:3019:4520:0020:1520:3020:4521:0021:1521:3021:4522:0022:1522:3022:4523:0023:1523:3023:45Tuesday PM End- Select -FREE TIME12:0012:1512:3012:4513:0013:1513:3013:4514:0014:1514:3014:4515:0015:1515:3015:4516:0016:1516:3016:4517:0017:1517:3017:4518:0018:1518:3018:4519:0019:1519:3019:4520:0020:1520:3020:4521:0021:1521:3021:4522:0022:1522:3022:4523:0023:1523:3023:45Wednesday AM Start- Select -FREE TIME00:0000:1500:3000:4501:0001:1501:3001:4502:0002:1502:3002:4503:0003:1503:3003:4504:0004:1504:3004:4505:0005:1505:3005:4506:0006:1506:3006:4507:0007:1507:3007:4508:0008:1508:3008:4509:0009:1509:3009:4510:0010:1510:3010:4511:0011:1511:3011:45Wednesday AM End- Select -FREE TIME12:0012:1512:3012:4501:0001:1501:3001:4502:0002:1502:3002:4503:0003:1503:3003:4504:0004:1504:3004:4505:0005:1505:3005:4506:0006:1506:3006:4507:0007:1507:3007:4508:0008:1508:3008:4509:0009:1509:3009:4510:0010:1510:3010:4511:0011:1511:3011:45Wednesday PM Start- Select -FREE TIME12:0012:1512:3012:4513:0013:1513:3013:4514:0014:1514:3014:4515:0015:1515:3015:4516:0016:1516:3016:4517:0017:1517:3017:4518:0018:1518:3018:4519:0019:1519:3019:4520:0020:1520:3020:4521:0021:1521:3021:4522:0022:1522:3022:4523:0023:1523:3023:45Wednesday PM End- Select -FREE TIME12:0012:1512:3012:4513:0013:1513:3013:4514:0014:1514:3014:4515:0015:1515:3015:4516:0016:1516:3016:4517:0017:1517:3017:4518:0018:1518:3018:4519:0019:1519:3019:4520:0020:1520:3020:4521:0021:1521:3021:4522:0022:1522:3022:4523:0023:1523:3023:45Thursday AM Start- Select -FREE TIME00:0000:1500:3000:4501:0001:1501:3001:4502:0002:1502:3002:4503:0003:1503:3003:4504:0004:1504:3004:4505:0005:1505:3005:4506:0006:1506:3006:4507:0007:1507:3007:4508:0008:1508:3008:4509:0009:1509:3009:4510:0010:1510:3010:4511:0011:1511:3011:45Thursday AM End- Select -FREE TIME12:0012:1512:3012:4501:0001:1501:3001:4502:0002:1502:3002:4503:0003:1503:3003:4504:0004:1504:3004:4505:0005:1505:3005:4506:0006:1506:3006:4507:0007:1507:3007:4508:0008:1508:3008:4509:0009:1509:3009:4510:0010:1510:3010:4511:0011:1511:3011:45Thursday PM Start- Select -FREE TIME12:0012:1512:3012:4513:0013:1513:3013:4514:0014:1514:3014:4515:0015:1515:3015:4516:0016:1516:3016:4517:0017:1517:3017:4518:0018:1518:3018:4519:0019:1519:3019:4520:0020:1520:3020:4521:0021:1521:3021:4522:0022:1522:3022:4523:0023:1523:3023:45Thursday PM End- Select -FREE TIME12:0012:1512:3012:4513:0013:1513:3013:4514:0014:1514:3014:4515:0015:1515:3015:4516:0016:1516:3016:4517:0017:1517:3017:4518:0018:1518:3018:4519:0019:1519:3019:4520:0020:1520:3020:4521:0021:1521:3021:4522:0022:1522:3022:4523:0023:1523:3023:45Friday AM Start- Select -FREE TIME00:0000:1500:3000:4501:0001:1501:3001:4502:0002:1502:3002:4503:0003:1503:3003:4504:0004:1504:3004:4505:0005:1505:3005:4506:0006:1506:3006:4507:0007:1507:3007:4508:0008:1508:3008:4509:0009:1509:3009:4510:0010:1510:3010:4511:0011:1511:3011:45Friday AM End- Select -FREE TIME12:0012:1512:3012:4501:0001:1501:3001:4502:0002:1502:3002:4503:0003:1503:3003:4504:0004:1504:3004:4505:0005:1505:3005:4506:0006:1506:3006:4507:0007:1507:3007:4508:0008:1508:3008:4509:0009:1509:3009:4510:0010:1510:3010:4511:0011:1511:3011:45Friday PM Start- Select -FREE TIME12:0012:1512:3012:4513:0013:1513:3013:4514:0014:1514:3014:4515:0015:1515:3015:4516:0016:1516:3016:4517:0017:1517:3017:4518:0018:1518:3018:4519:0019:1519:3019:4520:0020:1520:3020:4521:0021:1521:3021:4522:0022:1522:3022:4523:0023:1523:3023:45Friday PM End- Select -FREE TIME12:0012:1512:3012:4513:0013:1513:3013:4514:0014:1514:3014:4515:0015:1515:3015:4516:0016:1516:3016:4517:0017:1517:3017:4518:0018:1518:3018:4519:0019:1519:3019:4520:0020:1520:3020:4521:0021:1521:3021:4522:0022:1522:3022:4523:0023:1523:3023:45Saturday AM Start- Select -FREE TIME00:0000:1500:3000:4501:0001:1501:3001:4502:0002:1502:3002:4503:0003:1503:3003:4504:0004:1504:3004:4505:0005:1505:3005:4506:0006:1506:3006:4507:0007:1507:3007:4508:0008:1508:3008:4509:0009:1509:3009:4510:0010:1510:3010:4511:0011:1511:3011:45Saturday AM End- Select -FREE TIME12:0012:1512:3012:4501:0001:1501:3001:4502:0002:1502:3002:4503:0003:1503:3003:4504:0004:1504:3004:4505:0005:1505:3005:4506:0006:1506:3006:4507:0007:1507:3007:4508:0008:1508:3008:4509:0009:1509:3009:4510:0010:1510:3010:4511:0011:1511:3011:45Saturday PM Start- Select -FREE TIME12:0012:1512:3012:4513:0013:1513:3013:4514:0014:1514:3014:4515:0015:1515:3015:4516:0016:1516:3016:4517:0017:1517:3017:4518:0018:1518:3018:4519:0019:1519:3019:4520:0020:1520:3020:4521:0021:1521:3021:4522:0022:1522:3022:4523:0023:1523:3023:45Saturday PM End- Select -FREE TIME12:0012:1512:3012:4513:0013:1513:3013:4514:0014:1514:3014:4515:0015:1515:3015:4516:0016:1516:3016:4517:0017:1517:3017:4518:0018:1518:3018:4519:0019:1519:3019:4520:0020:1520:3020:4521:0021:1521:3021:4522:0022:1522:3022:4523:0023:1523:3023:45Sunday AM Start- Select -FREE TIME00:0000:1500:3000:4501:0001:1501:3001:4502:0002:1502:3002:4503:0003:1503:3003:4504:0004:1504:3004:4505:0005:1505:3005:4506:0006:1506:3006:4507:0007:1507:3007:4508:0008:1508:3008:4509:0009:1509:3009:4510:0010:1510:3010:4511:0011:1511:3011:45Sunday AM End- Select -FREE TIME12:0012:1512:3012:4501:0001:1501:3001:4502:0002:1502:3002:4503:0003:1503:3003:4504:0004:1504:3004:4505:0005:1505:3005:4506:0006:1506:3006:4507:0007:1507:3007:4508:0008:1508:3008:4509:0009:1509:3009:4510:0010:1510:3010:4511:0011:1511:3011:45Sunday PM Start- Select -FREE TIME12:0012:1512:3012:4513:0013:1513:3013:4514:0014:1514:3014:4515:0015:1515:3015:4516:0016:1516:3016:4517:0017:1517:3017:4518:0018:1518:3018:4519:0019:1519:3019:4520:0020:1520:3020:4521:0021:1521:3021:4522:0022:1522:3022:4523:0023:1523:3023:45Sunday PM End- Select -FREE TIME12:0012:1512:3012:4513:0013:1513:3013:4514:0014:1514:3014:4515:0015:1515:3015:4516:0016:1516:3016:4517:0017:1517:3017:4518:0018:1518:3018:4519:0019:1519:3019:4520:0020:1520:3020:4521:0021:1521:3021:4522:0022:1522:3022:4523:0023:1523:3023:45Total HoursIs there anything else you would like us to know when finding you suitable help?Terms & Conditions Tick to accept I have read, understood and accepted the Terms & Conditions for Families* Previous Submit