Parent Registration Form - Morningside Nannies

Desired Start Date*

Primary Parental Contact *

First Last

Home Address*

Street Address City State ZIP Code

Phone Number*

Please enter the phone number that our placement specialists can use to reach you during our business hours.

Email*

Enter Email Confirm Email

Work Information*

Employer Name	Work Phone	Profession

About Your Children or Family Members*

Name	Gender	Date of Birth

Please use the plus button to the right above to add more family members.

Please share any special care needs or concerns.

Type of Employment

Full-time
Part-time
Undecided

Length of Employment

Permanent
Temporary
Backup Care - On Call

Type of Provider

Live-In
Live-Out
Either

Live-In Accommodations

Private Bedroom
Private Bathroom
Private Entrance
Basement Apartment
In-law Apartment

Please check the accommodations that best describe the accommodations your live-in nanny will have. At minimum, live-in nannies must have a private bedroom.

Weekly Schedule

Day	Start Time	End Time

Please indicate what the nanny's typical weekly schedule will be.

Will the nanny have non-childcare related housekeeping responsibilities?

Yes
No

Nannies are typically responsible for all tasks related to providing childcare including doing the children's laundry, cleaning up after meal preparation and keeping the children's areas neat, clean and organized.

Non-childcare or senior care housekeeping duties include

Family Laundry
Family Meal Preparation
Pet Care
Complete House Cleaning (bathrooms, floors, bedrooms, etc.)
Other

Will your nanny have the following responsibilities?

Driving the Children
Helping with Homework
Swimming with the Children
Traveling with the Family

Does your home have a pool?

Yes
No

Will you provide a car for your nanny's on duty use?

Yes
No

If your nanny will be using her own vehicle to transport the children confirm her insurance policy allows for transporting children for work and she should be reimbursed for mileage in accordance with the IRS standard mileage reimbursement rate. If she is using your vehicle, be sure to add her to your policy as an additional driver.

Please provide the names of those who live in the home and their relation to the children.

Name	Relation to child/children

What is the salary range for your position?

Gross Hourly Minimum	Gross Hourly Maximum	Gross Weekly Minimum	Gross Weekly Maximum

Is this salary negotiable based on qualifications?

Yes
No

Are there any special circumstances the employee should be aware of?

Please include any lifestyle, religious and dietary preferences or practices the nanny should be aware of. Please also include any family medical, health issues or allergies and if the parents are separated or divorced.

What additional benefits, if any, will you provide?

Partial Contributions to Health Insurance
Full Health Insurance
Paid Sick Days
Paid Personal Days
Paid Professional Development Days
Paid Registration to INA Conference
Other

Please indicate which additional benefits you wish to provide your employee. While you are not required to offer benefits by law, a competitive benefits package helps attract and retain qualified providers.

I understand I am legally required to deduct FUTA/FICA payroll taxes and agree to do so.

Yes
No

The IRS has ruled that nannies are not independent contractors and are employees of the families for whom they work. All nannies are required to be paid at least minimum wage for every hour worked. Live-out nannies are also entitled to overtime for all hours worked over 40 in a 7-day period.

Morningside Nannies Client Agreement

I Agree to the Morningside Nannies Family Agreement

Please review the agreement located here: Morningside Nannies Family Agreement. By clicking you agree you accept both our GENERAL TERMS AND CONDITIONS FOR PLACEMENT SERVICES and CREDIT CARD USAGE TERMS AND CONDITIONS.

Morningside Nannies Registration Fee*

Price:

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Card Number Expiration Date Security Code Cardholder Name

Billing Address for the Credit Card Above*

Street Address Address Line 2 City State ZIP Code