Families Registration - AdayssAdayss

Quick Registration (Complete in English)
Name*
First name Surname
Identity Card / Passport Number*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone Home (with code):*
Email:*
Skype:*
Facebook:
What languages family speak at home:*
Mother's Information
Mother's First Name*
Mother's Age*
Mother's Occupation:*
Mother's Mobile (with code):*
Mother's Religion:*
Do you practice it:*
- Yes
- No
Father's Information
Father's First Name*
Father's Age*
Father's Ocupation:*
Father's Mobile (with code):*
Father's Religion:*
Do you practice it:*
- Yes
- No
CHILDREN'S INFORMATION
Number of children
Name
Age
Name
Age
Name
Age
Name
Age
Name
Age
Name
Age
Name
Age
Is a baby expected:*
- Yes
- No
Are you a single parent:*
- Yes
- No

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Quick Registration (Complete in English)
Cover Letter*
Family letter presentation, why would you like to have an Au pair (at least 150 words).
Identity Card*
Accepted file types: pdf, doc, docx, rtf, txt, jpg, gif, png.
Pictures*
Drop files here or
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)
If you are going to do online registration, at the end you will have to attach next documents:
1. Passport / Identity Card
2. Pictures (of family, house, Au pair's room...)
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.
Pre-registration Host family Program*
Total
0,00 €
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Quick Registration (Complete in English)