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Mother's name

Father's name

Mother's occupation

Father's occupation

Mother's nationality

Father's nationality

Address 1

Address 2

Town

Postcode

Home tel

Mobile tel

Emergency contact tel

Any pets

Number of children

Child information

Is a baby expected

Start date

Duration of stay

Amount of pocket money offered

Preferred nationality of au pair

Male au pair accepted

Car driver

Car provided

Where do you live

Nearest train station in minutes

Nearest bus stop in minutes

House size

How many bedrooms

How many bathrooms

Describe au pair accomodation

Brief overview of family day to day life

Childcare requirements

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Approx hours needed each week

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Additional information

How did you hear about Kent Nannies?

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