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Joanna's Nannies In-Take Form
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* Indicates required question
Full Name (first and last)
*
Your answer
Phone
*
Your answer
Email
*
Your answer
Children's Names & Birthdays
*
Your answer
Which of our locations do you need childcare in? (check multiple if applicable)
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Denver Metro (Denver, Boulder, Colorado Springs)
Los Angeles Metro (Los Angeles, Orange County)
SF Bay Area (Marin, San Francisco, South Bay, East Bay)
Wine Country (Sonoma/Napa)
Required
Who can we thank for referring you?
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I found you on Google
I heard about you on facebook/instagram
I found you on Yelp
A hotel/resort/venue referred me (please add their name in 'other' field)
A friend told me about you (please add their name in 'other' field)
I came across your business cards, flyers or went directly to your website
I am a returning client
Other:
Required
Which service type are you interested in?
*
Temporary Nanny/Babysitter (a la carte, occasional care)
Membership Part-time/Full-time Nanny (long term/regularly scheduled care, 3 month commitment)
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