FAMILY REGISTRATION

Fill out the family registration form to join our community and access exclusive benefits. We look forward to welcoming you and your family!

Thank you for choosing us! Once this application is completed the process begins to find your suitable staff according to your needs. in this registration we will not ask you for a credit or debit card. when you finish filling out, we will contact us for a staff search, you can check our payment packages to find staff.

(786) 697-5234

Monday - Friday

9:00 am – 5:00 pm

info@avhelpfulhands.com

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REGISTER AS AN FAMILY

Name

Last Name

Occupation:

Street Address:

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PLACE OF SERVICES

State:

City:

Zip/Code:

Name of your neighbornhood:

Phone Number:

Email address:

Place the family photo here. (Optional)

How did he find out about us?
GoogleInstagramFacebookReference from a friend

Do you have any pet? Describe each one.

What type of worker do you need?
NannyHousekeeperElderly CareOthers (Gardener, Chef, Handyman, Drivers, Home Organizer)

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NANNY INFORMATION

Select below according to you needed:
Full TimePart TimeLiving InLiving OutTemporaryPermanentFor vacations tripsFor night outingsMomentary substituteOther

CHILD'S INFORMATION

Indicate your number of children

Child Name 1:

Child date of birth 1:

School they attend (Optional)

Child Name 1:

Child date of birth 1:

School they attend (Optional)

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Child Name 2:

Child date of birth 2:

School they attend (Optional)

Child Name 1:

Child date of birth 1:

School they attend (Optional)

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Child Name 2:

Child date of birth 2:

School they attend (Optional)

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Child Name 3:

Child date of birth :

School they attend (Optional)

Child Name 1:

Child date of birth 1:

School they attend (Optional)

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Child Name 2:

Child date of birth 2:

School they attend (Optional)

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Child Name 3:

Child date of birth :

School they attend (Optional)

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Child Name 4:

Child date of birth :

School they attend (Optional)

Child Name 1:

Child date of birth 1:

School they attend (Optional)

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Child Name 2:

Child date of birth 2:

School they attend (Optional)

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Child Name 3:

Child date of birth :

School they attend (Optional)

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Child Name 4:

Child date of birth :

School they attend (Optional)

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Child Name 5:

Child date of birth :

School they attend (Optional)

Child Name 1:

Child date of birth 1:

School they attend (Optional)

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Child Name 2:

Child date of birth 2:

School they attend (Optional)

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Child Name 3:

Child date of birth :

School they attend (Optional)

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Child Name 4:

Child date of birth :

School they attend (Optional)

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Child Name 5:

Child date of birth :

School they attend (Optional)

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Child Name 6:

Child date of birth :

School they attend (Optional)

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SCHEDULE & NEEDS

Whats is the children's routine? Ex. Eat, play in and outdoors, after school activities, others.

Please describe the schedule:

Is this schedule flexibe?
This is the exact schedule i needFlexibleRotaryI'm not sure yet

Preferred start date:

Minimum of hours your are able to guarante:

Additional Needs: (if applicable)
Occasional SaturdayOccasional SundaysOccasional eveningsOccasional overnightsAccompanying family on outingsTravel with familyOther

Describe:

Surface cleaning:
DishesLaundryTidyingFamily meal prepChildren meatOther

Describe:

Will the babysitter use her own vehicle? (To any need inside your home).
YesNoI will provide a vehicleNot sure

Describe what qualities you would like your nanny to have. Ex. English, Spanish, driving, car.

Salary rangue:

Will you pay taxes:
YesNoNot sureI would a tax consultation

Paid time off and / or paid holidays:

Additional Benefits:

Are you looking to replace your currrent domestic or you need a new domestic?

Things provided for use on the job. Ex. car, cellphone, bike, others.

How many domestics are you looking to hire? Describe.
1234

Is there anything else you would like to tell us?

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HOUSEKEEPER INFORMATION

Select below according to you needed:
Full TimePart TimeLiving InLiving OutTemporaryPermanentFor vacations tripsMomentary substituteLight House KeepingHousekeepingOther

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SCHEDULE & NEEDS

Preferred start date:

Please describe the schedule:

Is this schedule flexibe?
This is the exact schedule i needFlexibleRotaryI'm not sure yet

Would you prefer to pay by day or by hour?
DayHoursNot sure

Minimum of hours your are able to guarante:

Additional Needs: (if applicable)
Occasional SaturdayOccasional SundaysOccasional eveningsOccasional overnightsAccompanying family on outingsTravel with familyOther

Describe:

Additional activities:
DishesLaundryTidyingFamily meal prepChildren meatOther

Describe:

Describe what qualities you would like your housekeeper to have. Ex. dynamic, responsible, flexible, organized, experience, others.

Salary rangue:

Will you pay taxes:
YesNoNot sureI would a tax consultation

Paid time off and / or paid holidays:

Additional Benefits:

Are you looking to replace your currrent domestic or you need a new domestic?

Things provided for use on the job. Ex. car, cellphone, bike, others.

If a housekeeper is needed how big is your house ? Sq ft.

How many rooms does your house have?

How many bathrooms does your house have?

Do you require laundry service?
YesNo

Does it require ironing service?
YesNo

How many domestics are you looking to hire? Describe.
1234

Is there anything else you would like to tell us?

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ELDERLY CARE INFORMATION

Select below according to you needed:
Full TimePart TimeLiving InLiving OutTemporaryPermanentFor vacations tripsMomentary substituteLight House KeepingHousekeepingOther

ELDERLY'S INFORMATION

Indicates the number of elderly people

Elderly Name 1:

Elderly date of birth 1:

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Elderly Name 1:

Elderly date of birth 1:

Elderly Name 2:

Elderly date of birth 2:

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SCHEDULE & NEEDS

Whats is the elderly routine? Ex. feed him, bathing, doctor appointments, walks, others. Describe.

Preferred start date:

Is this schedule flexibe?
This is the exact schedule i needFlexibleRotaryI'm not sure yet

Would you prefer to pay by day or by hour?
DayHoursNot sure

Minimum of hours your are able to guarante:

Additional Needs: (if applicable)
Occasional SaturdayOccasional SundaysOccasional eveningsOccasional overnightsAccompanying family on outingsTravel with familyOther

Describe:

Surface cleaning:
DishesLaundryTidyingFamily meal prepChildren meatOther

Describe:

Will the worker use their own vehicle? (to any need inside your home)
YesNoI will provide a vehicleNot sure

Describe what qualities you would like your worker to have. Ex. loving, responsible, others.

Salary rangue:

Will you pay taxes:
YesNoNot sureI would a tax consultation

Paid time off and / or paid holidays:

Additional Benefits:

Are you looking to replace your currrent domestic or you need a new domestic?

Things provided for use on the job. Ex. car, cellphone, bike, others.

How many domestics are you looking to hire? Describe.
1234

Is there anything else you would like to tell us?

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OTHER JOBS INFORMATION

Select below according to you needed:
Full TimePart TimeLiving InLiving OutTemporaryPermanentFor vacations tripsMomentary substituteLight House KeepingHousekeepingCooking/ChefMaintenance ManGardenersDriverHome OrganizerOther

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SCHEDULE & NEEDS

How many people are there in the house? How many kids are there?
Adults:

Kids:

Preferred start date:

Please describe the schedule:

Is this schedule flexibe?
This is the exact schedule i needFlexibleRotaryI'm not sure yet

Would you prefer to pay by day or by hour?
DayHoursNot sure

Minimum of hours your are able to guarante:

Additional Needs: (if applicable)
Occasional SaturdayOccasional SundaysOccasional eveningsOccasional overnightsAccompanying family on outingsTravel with familyOther

Describe:

Salary rangue:

Will you pay taxes:
YesNoNot sureI would a tax consultation

Paid time off and / or paid holidays:

Additional Benefits:

Are you looking to replace your currrent domestic or you need a new domestic?

Things provided for use on the job. Ex. vehicule, supplies, others

How many domestics are you looking to hire? Describe.
1234

Is there anything else you would like to tell us?

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FAMILY REGISTRATION

(786) 697-5234

Monday - Friday

info@avhelpfulhands.com

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REGISTER AS AN FAMILY

NANNY INFORMATION

HOUSEKEEPER INFORMATION

ELDERLY CARE INFORMATION

OTHER JOBS INFORMATION

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