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About us
Official au pair agency
Working method
Visa Application Procedure
Our au pairs
Host family
Why host an au pair?
Travel & Insurance
Language course
Intake interview
Cost summary
Registration-form host family
Au pair
Au pair in The Netherlands
Cultural Exchange Program
Au pair registration form
News
Contact
Home
About us
About us
Official au pair agency
Working method
Visa Application Procedure
Our au pairs
Host family
Why host an au pair?
Travel & Insurance
Language course
Intake interview
Cost summary
Registration-form host family
Au pair
Au pair in The Netherlands
Cultural Exchange Program
Au pair registration form
News
Contact
Registration-form host family
Family details
Family name
*
Name mother
*
Phone mother
*
Email address mother
*
Date of Birth mother
*
Nationality mother
*
Profession mother
*
Construction mother
*
Contract
Own company
DGA
Partnership
Other
Name father
*
Phone father
*
Email address father
*
Date of birth father
*
Nationality father
*
Profession father
*
Construction father
*
Contract
Own company
DGA
Partnership
Other
Civil status
*
Married
Registered partners
Unmarried
Single
Divorced
Other
Select civil status
Street Address
*
City
*
Province
ZIP / Postal Code
*
Country
Select country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
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Burundi
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Cameroon
Canada
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Central African Republic
Chad
Chile
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Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French South Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island And Mcdonald Island
Honduras
Hong Kong
Hungary
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Indonesia
Iran
Iraq
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Korea, Democratic People's Republic of
Korea, Republic of
Kosovo
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Lao People's Democratic Republic
Latvia
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Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
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Mauritius
Mayotte
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Monaco
Mongolia
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Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
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Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
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Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion Island
Romania
Russia
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre & Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and South Sandwich
Spain
Sri Lanka
Stateless Persons
Sudan
Sudan, South
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan, Republic of China
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America (USA)
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis And Futuna Islands
Western Sahara
Yemen Arab Rep.
Yemen Democratic
Zambia
Zimbabwe
General Email Address
*
Spoken languages
*
Contact language
*
Religion/spiritual practice
*
Hobbies and interests of family
*
0 / 180
Number of children (Girls)
*
Number of children (Boys)
*
Names of children
*
Ages and date of birth children
*
House type
*
Semi-detached
Villa
Apartment
Town house
Other
What type of house do you live in
Number of bedrooms
*
Animals/pets
*
Distance to nearest train station
*
Distance to nearest bus stop
*
Distance to shops
*
Distance to school
*
Your needs
What you want and need from an au pair
Start date au pair
*
Period of stay au pair
*
Look after children age 0-2
*
Yes
No
Look after children age 3-5
*
Yes
No
Look after children age 6-10
*
Yes
No
Put children to bed
*
Yes
No
Get children up and dressed
*
Yes
No
Keep children occupied
*
Yes
No
Take children out to play
*
Yes
No
Making beds
*
Yes
No
Washing dishes
*
Yes
No
Shop for food
*
Yes
No
Cook simple meals
*
Yes
No
Light housekeeping
*
Yes
No
Wash laundry and iron
*
Yes
No
Look after pets
*
Yes
No
Other duties
*
Accomodation au pair
*
Hours of work (weekly)
*
Days to babysit (monthly)
*
Free time (weekly)
*
Pocket money (monthly - in €)
*
Need driver
*
Yes
No
Car au pair
*
Yes
No
Bicycle au pair
*
Yes
No
Needs to swim
*
Yes
No
Accept smoker
*
Yes
No
Accept vegetarian
*
Yes
No
Accept au pair on diet
*
Yes
No
Preferred nationality
*
Other requirements
*
Message to au pair
*
How did you find us?
*
GDPR
*
Yes, I agree with
privacy policy
,
terms and conditions
.
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