Mobile Crèche Registration
Contact details
I am the...
Event organiser
Company director
Wedding planner
Bride
Groom
Other
First name and last name
*
Address
*
Email address
*
Home phone
Mobile phone
*
Work phone
Skype
Company name
Event location
Same as above (same as contact address)
Address
*
Event type
Wedding
Party
Company event
Family gathering
Special event
Other
Where will the event be located?
Please enter between 80 - 300 characters.
Will the children have the use of their own toilet facilities nearby?
Are there indoor or outdoor toys/play structures at the location?
Children age groups
0 to 12 months
1 to 2 years
2 to 3 years
3 to 5 years
5 to 8 years
8 years +
Do any of the children being cared for have any allergies, disabilities or illnesses?
yes
no
Crèche requirements
Date
Time
Do you have any special requests you wish to include within the crèche?
Do you require any of the following crèche additions?
(additional charges apply)
Snack pack
Party pack
Unlimited drinks
Party food
Bespoke theme
Bespoke invitations
Do you require hire of equipment for use in the crèche?
(additional charges apply)
Bouncy castle
Balloons
Travel cot
High-chair
Event shelter
Marquee hire
Do you require any of the following services in the crèche?
(additional charges apply)
Entertainer
Kids disco
Babysitters
Kids slumber party
Magician
Face painting
Puppet show
Please provide any further details.
*
Health & Safety contact person on location
We need a contact to discuss health and safety requirements in order to ensure the space provided is suitable to run a mobile crèche
First name and last name
Telephone number
Email address
Skype address
How did you hear from us?
Social network site
Search engine
Print advertising
Web advertising
Terms and conditions
I am the client
I am a representative of the client
* Please tick the box to confirm that you have read and accept the agency
Terms & Conditions and fees
Copyright@2016 - The Parent & Child Nanny Agency.