336-392-7827
Let Us Find Your PERFECT Nanny!
Home
Families
Why Are We Preferred?
Testimonials
FAQ
Services
What We Offer
Full-Time Nanny
Part-Time Nanny
Guaranteed Babysitting
Pet Sitting
Registration Forms
Part & Full-Time Nanny Registration
Guaranteed Babysitting Service Registration
Hotel Registration
Pet Sitting Registration
Nannies
Join Our Team
Qualifications & Screenings
Churches
Partner with us
Our Guarantee
Services & Partners
Contact
Meet The Team
Guaranteed Babysitting Service Registration
Registration
Date Registered
Type of Service Needed
Guaranteed Babysitting
Parent 1 Full Name
*
Parent 1 Cell Phone
*
Parent 1 Email
*
Parent 2 Full Name
*
Parent 2 Cell Phone
*
Parent 2 Email
*
Home Address
*
Street Address
Apt, Suite, Bldg. (optional)
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d\'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palestinian Territory
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Western Sahara
Western Samoa
Yemen
Zambia
Zimbabwe
Country
Home Phone
Work Phone
Number of Children in the Household
Select
1
2
3
4
Child 1
Gender
Female
Male
Birth Date
Child 2
Gender
Female
Male
Birth Date
Child 3
Gender
Female
Male
Birth Date
Child 4
Gender
Female
Male
Birth Date
Do any of your children have food allergies?
If yes, please explain below.
Do any of your children have any special needs such as: health, behavior, emotional, or academic concerns?
If yes, please explain below.
Please describe each child's personality and development stage.
Please briefly describe any family activities and interests.
Please briefly describe the type of parent you are.
Ex: Lenient, structured, etc...
Do you have any pets?
If yes, please explain below.
Special Observances
Ex: Diet, holidays, religious celebrations, etc...
How would you describe your home lifestyle?
Select
Formal
Informal
Does anyone in your home smoke?
Select
Yes
No
How did you hear about Preferred ChildCare, Inc.?
Verification
Please enter any two digits
*
Example: 12
This box is for spam protection -
please leave it blank
: