Church Registration Form

Please select your location*
Church Name*
Main Contact Name:*
First Last
Department/Title
Phone*
Email*
Secondary Contact Name
Department/Title
Phone
Email
Address*
Street Address City State / Province / Region ZIP / Postal Code
Detailed Directions from Major Intersection*
Care Information
Please describe your existing security measures for your child care programming:*
Please list any polices or procedures our team would be expected to follow:*
Please describe the role you would like our team to play while on-site:*
Please describe your organization's culture and any values our team should be aware of:*
How would you like our nannies to approach behavioral modification, if necessary:*
Please describe your sick policy for child care rooms/events:*
What is your current process for incident reporting?*
Please describe your “cry policy” (i.e. at what point would you like parents to be contacted and how?)*
Explain your check-in and check-out procedures:*
What ratios do you adhere to for infants (0-12 months)? Toddlers (1-3 years)? Ages 4+?*
Do you have a dress code or any preferences as it pertains to what our nannies will wear?*
By default, our team wears agency uniform.
What other information would you like to share with us to help us best serve you?*

Care Information