Registration – KlassiCare

Profile Details

First Name^*

Last Name^*

Email^*

Password^*

Confirm Password^*

Profession^*

Address^*

Mobile #^*

Are you a single Parent?^*

Yes

Number of Children^*

How many children will be cared for and what are their ages?^*

Do you have a disabled child?^*

Yes

Do you have a child with a Medical Condition?^*

Yes

Does any member of the household have any Mental Health issues?^*

Yes

How often will payment be made?^*

How much do you agree to pay the Nanny/Mothers' help weekly?^*

Personal Details cont…

WhatsApp #^*

What is the start & finish time required^*

Nationality of Nanny/Mothers' help required^*

Does anyone in the household smoke?^*

Do you require a live-in or live-out?^*

What age range are you looking for?^*

What is your proposed start date?^*

Do you have a spare room for the Nanny/Mothers' help? (mandatory for live-in)^*

How many days / hours a week do you require?^*

What day / days will the Nanny/Mothers' help be off?^*

Do you have any pets?^*

Requirement / Daily Chores^*

Will you cover travel fare school runs if required?^*