Parents Registration Form

If you would like Holly's House to help with your search for childcare please use the registration form below. If you prefer you can print off the form (click here for printable version) and fill it in and then post it back to us at:

Holly's House
16 Ford Road
Bromsgrove
Worcestershire
B61 7DF 

Once we have received your completed form we will be in touch to advise you of the next steps.

 

Personal Details
Childcare Requirements
Children's Details

Please supply any further details about your children you feel is relevant to help us find you suitable childcare including any medical conditions

Please select all that are applicable

Please state any other details about your childcare requirements

Please select all that apply

Other Information

Please select all that apply

Please specify if this is a net or gross amount and if it is an hourly, weekly or annual salary

If yes please specify

Please note that if you do you will have to incliude this in the nanny's hours of work

If yes please specify

Agreement

I certify that the information I have submitted on this form is true & correct to the best of my knowledge

I have  read and accept the terms and  conditions of Holly's House Nanny Agency

If a candidate is introduced to you and you subsequently offer employemnt Holly's House will take this automatically as acceptance of out terms & conditions.