aupairlink.co.nz | Family registration form

Family registration form

We recommend you complete this family registration form on a desktop. Please allow 30 minutes to complete this form in one sitting, as you are unable to save and return to it later. Have prepared a couple of family photos, information about your family and what you are looking for in an au pair. The more detailed, the better your family will look for possible au pairs.

Primary parent(Required)

First Last

Email(Required)

Phone(Required)

Legal New Zealand citizen or permanent resident(Required)

Yes

No

Date of birth(Required)

Occupation

Parent or guardianship status(Required)

Address(Required)

Street Address Address Line 2 City Suburb Postcode Country

Single parent household(Required)

Yes

No

Secondary parent details

Secondary Parent(Required)

First Last

Email(Required)

Phone(Required)

Legal New Zealand citizen or permanent resident(Required)

Yes

No

Date of birth(Required)

Occupation(Required)

Parent or guardianship status(Required)

Address different from Primary parent?(Required)

Yes

No

Address(Required)

Street Address Address Line 2 City Suburb Postcode Country

Children details

Total number of children(Required)

Please enter a number from 1 to 5.

First Child Name(Required)

First Last

First Child Gender(Required)

First Child Date of Birth(Required)

Second Child Name(Required)

First Last

Second Child Gender(Required)

Second Child Date of Birth(Required)

Third Child Name(Required)

First Last

Third Child Gender(Required)

Third Child Date of Birth(Required)

Fourth Child Name(Required)

First Last

Fourth Child Gender(Required)

Fourth Child Date of Birth(Required)

Fifth Child Name(Required)

First Last

Fifth Child Gender(Required)

Fifth Child Date of Birth(Required)

Do any of your children have special education needs?(Required)

Yes

No

If yes, please provide some details (name of child/requirements)(Required)

Do any of your children have allergies or medical conditions?(Required)

Yes

No

If yes, please provide some details (name of child/requirements)(Required)

Family registration form

Family registration form

Secondary parent details

Children details

Household Information

Languages

Information for the Au Pair

Family Photos

award
winning
au pair
agency

Family registration form

Family registration form

Secondary parent details

Children details

Household Information

Languages

Information for the Au Pair

Family Photos

award winning au pair agency

award
winning
au pair
agency