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CHERUB Nannies On-line Request Form.
Your are about to complete the CHERUB Nannies online request form.
Please answer all questions as they apply, remembering to read all of this form before submitting your request. Applicable fees apply.



Requestor's Name

Are you the parent/guardian? Yes No

City child care is needed.

State Zip

Home Telephone.

Work Telephone.

E-mail address.

Child's age.

If your child is of toddler age, is he/she potty trained?
Yes No

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.)
Yes No
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.
**Conditions apply

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?
Yes No
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

Comments

Before submitting your request
please take a moment to view our
Terms and Conditions.

Comments

Before submitting your request
please take a moment to view our
Terms and Conditions.