REGISTRATION FORM FOR FAMILIES
Name and surname:
Number of members of your family
Ages of the members:
Father
Mother
Child1
Child2
Child3
Child4
Address:
Town:
District:
Postcode:
E-Mail
Fix phone:
Mobile phone:
Skype account:
Studies/ Profession:
Father
Mother
Do you have pets?:
Yes
No
Language required:
How did you know us?:
Google
A well-known
Press
Other
Do you have any previous experience in “Au Pair”programs? :
Yes
No
Why an “Au Pair” program?
Interest program:
Favourite nationality:
Others:
Questions or comments you may have:
