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Craft Your Signature Family Care Legacy

* Before submitting your inquiry, we encourage you to review our service rates to ensure our offerings align with your family's childcare expectations and budget.

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Parent One – Contact Information

Full Nane*

Cell Phone Number*

Kindly enter your email address here*

Parent Two – Contact Information

Full Name*

Cell Phone Number*

Household & Emergency Information

Home Address*

Service Address(if different)

Emergency Contact (Full name, relationship, and contact details for immediate reach.)*

What is your preferred investment range for professional nanny services?*

$25–$30/hr

$30–$35/hr

$35–$40/hr

$40+/hr (Elite placement level)

Other

Family Background & Lifestyle

Total Children in Residence*

Children’s Names & Birthdates*

Exclusive Childcare Requirements

Please provide any unique health, dietary, religious, or allergy considerations for your child(ren) to ensure a refined, personalized, and flawless childcare experience.*

Residence & Family Environment

Please list any additional individuals residing in your home (e.g., grandparents, relatives, roommates, au pair, house manager).*

Kindly specify the style of your residence (house, condominium, apartment, etc.).*

If your home is pet-friendly, please provide details on your pets to ensure seamless integration into your bespoke childcare experience.*

Curated Language & Lifestyle Selections

Kindly indicate the languages spoken in your private residence *

Household or childcare protocols, including preferred tasks, activities, or dietary guidelines, to ensure a bespoke experience.*

Do either of the parents maintain a professional schedule from home?*

Tailored Childcare & Requested Services

Preferred Care & Schedule*

Full-Time Bespoke Care

Part-Time Personalized Support

Temporary/ Short-Term Exclusive Care

Daytime Enrichment & Supervision

Overnight Private Nanny Service

Long-Term Tailored Placement

Other

Will your children require chauffeured or private transportation services?*

Yes

Intermittent Service

Ideal Date to Begin Personalized Nanny Services*

Month

Day

Year

Any unique health, dietary, or religious considerations?*

Yes

If yes, please describe to enable attentive and tailored support.*

Care & Engagement Guideline

What are the primary duties you expect from your nanny (childcare, light household support, meals, etc.)?*

Pleae list any specific activities or enrichment experiences you wish the nanny to provide for your children.*

Please indicate if homework support, educational guidance, or supplementary lessons (languages, music, etc.) are requested.*

Private Household Guidance & Culinary Care

Which household tasks would you like the nanny to manage *

Newborn & Infant Nurturing - comprehensive care including feeding, comfortina, milestone support, and early developmental enrichment.

Infant & Toddler Nurturing - expert care with individualized attention to developmental progress, learning activities, and overall well-being.

Child Engagement & Learning - expert support encompassing homework and academic guidance, creative arts and enrichment, thoughtfully curated outings, and meticulous wellness and care oversight.

Refined Household Support - meticulous care of the child's laundry and personal space, light household management linked to childcare, and bespoke meal preparation for your children

Exclusive Additional Services - attentive pet care, seamless preparation for outings or special events, and supervision of age-appropriate responsibilities with precision and care.

Guidance & Behavioral Philosophy

Other

Guidance & Behavioral Philosophy

What is your preferred philosophy for nurturing behavior and handling challenges with empathy, structure, and calm authority? *

What core values, boundaries, or household philosophies would you like your nanny to embody while nurturing and guiding your children? *

Health & Safety

Are there any health considerations, allergies, or special care requirements your nanny should be mindful of to ensure your child’s well-being?*

Would you like your nanny to uphold elevated safety standards beyond CPR and First Aid, complemented by distinguished credentials such as Early Childhood Education, Child Development, or Advanced Infant Care? *

Sleep Rituals & Nurturing Routines

Please describe your child’s sleep rituals, nap schedules, and preferred parenting approaches so the nanny may honor your family’s refined rhythm.*

Personality & Engagement

Which qualities and personality traits are most important in your nanny (e.g., nurturing, active, creative, patient)?*

How would you envision the ideal interactions between your nanny and children? Please describe.*

Cultural & Dietary Considerations

Please indicate any cultural, religious, or dietary practices your nanny should uphold to align with your family’s refined lifestyle. *

Seamless Family Logistics

Do you prefer your nanny to arrive using private transportation, or may they utilize public transit or walk to your home? *

Refined Care Duration & Continuity

Please indicate your preferred nanny engagement, from temporary to long-term, whether flexibility or dedicated continuity is desired, and if multiple caregivers may be considered to ensure impeccable care. *

Are there particular red flags or considerations you wish to avoid (e.g., excessive screen time, other behaviors)?*

Additional Information & Discretionary Notes

Family Intake and Candidate Introduction Form

Please Download Family Intake Form Here:

Upload Signed Family Intake Form*

Authorized Family Member Name*

Authorized Family Signature*

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Date Sined*

Month

Day

Year

+ Download Our Family Intake Form

Access and execute our agreement to confirm your placement

To confirm your placement request, please download and review your Client Agreement.
Once signed, return the completed document to elitecare@ourgoodnanny.com.
Your request will then move into our private placement review process.

Sign Client Agreement

We appreciate the time you took to share your details — your request is now being reviewed with care and attention.

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