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au pair registration form

au pair families registration form

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Au Pairs Registration

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Quick Registration (Complete in English)
Name*
First name Surname
Country Selected*
Starting Date*

Approximately date
Period you can stay*
Identity Card / Passport Number*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone Home (with code)
Mobile (with code)*

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Quick Registration (Complete in English)
Email*
Skype*
Facebook

We will need it to added you to Adayss Au pair Group. https://www.facebook.com/adayssaupairagency/ Send us a request.
Sex*
- Female
- Male
Date of birth*
Your age*
Place of birth*
Nationality*
Marital Status*
Finished Studies*
Can you swim?*
- Yes
- No
Smoker*
- Yes
- No
Driving License*
- Yes
- No
If Yes, specify below
Are you able to drive in UK?
Any allergies or health problems?*
- Yes
- No
If Yes, specify below
Details on allergies or health problems
Location Preference*
- Flexible
- in/near Town City
- in/near Capital
Hours peer week*
Spoken English*
- Basic
- Fair
- Intermediate
- Good
What other languages can you speak?*

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Quick Registration (Complete in English)
Light Housework*
- Yes
- No
Simple Cook*
- Yes
- No
Ironing*
- Yes
- No
Childcare experience*
- None
- Some
- Plenty
Care for children under 2*
Maximum number of children to take care for*
Children's age average*
Care for child with special needs (disabled)*
Religion*
Accept family different race or religion*
- Yes
- No
Accept Pets in the house*
- Yes
- No
Household duties up to*
Accept single parent family*
- Yes
- No
- Yes, single mother only
- Yes, single father only
Are you flexible about your location?*
- Yes
- No
Have you been Au Pair before?*
- No
- Yes
I enjoy...
Press 'Ctrl' while clicking to select multiple options
Father's name*
First name Surname
Father's profession*
Mother's name*
First name Surname
Mother's profession*
Number of sisters and brothers and their ages*

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Quick Registration (Complete in English)
Why would you like to be Au pair*
(Small information).
Passport / Identity Card*
Accepted file types: pdf, doc, docx, rtf, txt, jpg, gif, png.
How did you find about us?*
Terms and conditions

READ ADAYSS CONTRACT
I have read and understand this agreement and I accept and agree to all of its terms and conditions.*
- I accept

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Quick Registration (Complete in English)
Already completed the form! Go to payment
Payment Method*
BANK ACCOUNT DETAILS FOR PAYMENT
BANK BBVA
IBAN: ES79 0182 0075 2202 0160 9985
BIC-SWIFT: BBVAESMMXXX
Address: Av. Abaro, 1 CP 48920 Portugalete (Bizkaia) Spain

Please indicate in the Bank Transfer your full name.
Au Pair Payment*
Total
0,00 €
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Our Team
Au pair Programs
Host Families
- Information Host Families
Spanish Classes
- Enrollment for Spanish Classes
Testimonials
Contact

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