Host family registration

This form is here to help you prepare your information for any registration
– please be aware that it will not be processed.


Data you send to euro pairs will not be held by euro pairs nor used for any other purpose.
You have the right at any time to ask an agency for a copy of data held, for which you may be charged a reasonable fee.
You should not incur a fee for changing or updating information you have previously given.
Form for Au pair Hosts
Name
Address
Post Code
Telephone Number with dialling code
e-mail

About your Family
Names of members of your family

 Occupation (adults, as appropriate)

 Ages of children

Religion
Nationality

Are your family smokers?
yes no

Are your family vegetarian?
Do you have any pets?
What are your family interests, hobbies, commitments?

About Your Home
Please state type of accommodation
(eg. flat, house, etc)
No. of bedrooms
No. of bathrooms
Are the rooms centrally heated?
Please describe the accommodation
for your Au Pair
Location
(town centre, suburb, country, etc)
How close are you to public transport (bus/rail)?

How near are you to: Theatre
Youth Club
Shopping
Cinema
Church
English Classes


(if you can, could you name the place)

About your Au Pair
Indicate the pattern of work expected:

Morning times

Afternoon times

No. of evenings each week
needing babysitting

Average working hours per week

Description of work expected

Details of any other domestic help
that you may have


What do you intend to pay your
Au Pair per week?

(recommended £60 - £80)



Should your Au Pair be ...?
a non-smoker doesn't matter
able to swim doesn't matter
a car driver 
doesn't matter
(click here for important advice about car driving)

What dates would you like the Au Pair to be with you?

To start:


in
 

To finish:
 

Any other comments or extra information

(If you already have information about some prospective Au Pairs,
you can also use this space to tell us your preferences):

Name of Au pair

 
Comment/Enquiry



I confirm that I have read and understand the Conditions
and my obligations, and I agree to them.
You can click here to review the fees and conditions,
then use your 'back' button to return to sign this form




Name of person completing this form



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87 Greenfield Crescent
Patcham
BRIGHTON   BN1 8HL
U.K.

telephone: (0044)(0) 1273 563-887
fax: (0044)(0) 1273 888-678
e-mail: info@euro-pairs.com