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हमारी सेवाएँ

Residence Address Information

Multi-line address
Are you a returning client?*
Yes
No

Care Schedule

Position Type
Employment Type

FOR 3 OR MORE DAYS WRITE THEM DOWN IN THE BOX BELOW

Weekly Schedule

Caregiver & Family Expectations

Multi Caregiver's expectations of your family
Your expectations of the caregiver

Home & Role Preferences

Preferred form of address
Is house cleaning required?
Yes
No
Is cooking required?
Yes
No
Food allergies in the home?
Yes
No

Family Life

Will someone be home with the caregiver?
Yes
No
Does a parent work from home?
Yes
No

Stroller Rental

Stroller Type

Please specify the type of stroller you need:

Please Note: Our Nannies are required to perform light housekeeping — cooking for the children; straightening the children’s play area/room and house throughout the day: dusting, mopping, sweeping, vacuuming and bathrooms once or twice a week as needed. They are required to: do laundry for the children and Family if required; iron clothes for the children; schedule play dates for the children; escort the children to play dates, to and from school, the park, doctor’s appointments; and any other jobs and duties pertaining to the care of the child on a daily basis, etc.

Personalize Your Experience

How did you hear about us?

Your Birthday

Month

We'll use this to send exclusive birthday promos and discounts & a special card just for you!

Billing Authorization

I understand and agree by signing below that when I hire a permanent caregiver referred to me by Family Care Options, I will be responsible to pay a permanent placement fee of 15% to Family Care Options and the fee is based on the caregivers yearly net salary. My intentions are to hire a permanent caregiver from Family Care Options and once the placement fee is paid to Family Care Options, I will become the caregivers direct employer responsible for any and all tax due to the government as the employer. I also understand and agree that the information I provided above is true information and my intention is to provide a safe workplace for the caregiver.


Family Bliss Bundle:  $249.00 fee for Nanny & Stroller Rental


Surchage Policy: A $50.00 surcharge fee applies before 8:00 AM and/or after 9:00PM.


Cancellation Policy:

Cancellations received less than 48 hours before the scheduled start time, the client will be responsible and billed for the entire schedule of services confirmed. All hourly rates and transportation fees will be charged to the credit card provided.


Cancellations received more than 48 hours in advance will receive a refund.


Payment & Confirmation: Upon submission, services will be confirmed, and the credit card provided will be charged. All major credit cards are accepted.


For more details, rates, or company policies, please call our office at (212) 748-8377 or email service@familycareoption.com before submitting this form.

ड्राइंग मोड चयनित। चित्र बनाने के लिए माउस या टचपैड की आवश्यकता होती है। कीबोर्ड पहुंच के लिए, टाइप या अपलोड का चयन करें.

By signing above, I agree and understand the Family Care Options policy, terms, rates, billing, and cancellation.

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