Nanny Cab Registration Step 1 of 6 16% Date Date Format: MM slash DD slash YYYY Family NamePhoneEmail What area do you live in?How did you hear about us?* Parents Name First Last OccupationCompany NameParents Name First Last OccupationCompany Name Child's NameAgeAny special needs or allergies?Child's NameAgeAny special needs or allergies?Child's NameAgeAny special needs or allergies?Have more then 3 kids? Add their info here! Please tell us your desired Nanny Cab Ride Schedule:IE: What days, times, length and miles.What are the main addresses the Nanny will be driving between? What are some words you would use to describe your ideal Nanny: (Other then reliable, loves kids ect because we have that covered 😊)Age rage preferred? Is it flexible?How long would you like a driver? On going? Just occasional?When is your ideal start date? Is it flexible?Do you have Nanny Cams? If so how many? (Please read our Policy handbook regarding these. You can find the handbook on our website under “Current Clients”.)Do you have pets? If so what kinds? Please list a reference:We highly screen and train all of our Nannies and want to match them with quality families, please include at least one reference of either a past nanny or a character reference of another family. Please upload a recent family picture:Nanny Cab Registration Fee Price: $99.00 Total $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name
