Are you the parent/guardian?
City child care is needed.
If your child is of toddler age, is he/she potty trained?
Start Date/Specific Days Required
Will you need someone who drives?
Will a vehicle be provided?
Is your child a special needs child? (Medical/Diet, etc.)
If yes, please explain.
Please explain the nature of your child care request.
(i.e. F/T, P/T start date, start times, AM/PM, etc.)
Will other services be required?
(i.e. Cooking/Lite Housekeeping, etc.)
Type of child care needed. Please choose one.
If other, please explain
*P/T is at least 20 hrs/week.
If you are requesting a live-in nanny
will nanny quarters be provided?
If yes, please
describe nanny living quarters.
In chosing a provider, is ethnicity a concern?
Does not matter
If ethnicity is a concern,
please indicate your preference. And why.
Please tell us how
you found CHERUB Nannies.
Where an " * " applies, please explain