Family registration

Register your family for a smoother care match.

Share your household details, care recipients, and family preferences so our team can prepare thoughtful support and understand the kind of caregiver your home needs.

Start Registration

$1,200 registration Designed for families who want access to dependable care support.

01 Tell us your household

Share parent, spouse, child, pet, and health details in one clear form.

02 We prepare your profile

Our team can understand your family before care is requested.

03 Access care faster

Registered details help us move with more context when support is needed.

Registration details

Family registration form.

Fields marked with an asterisk are required. Please include as much detail as possible so we can understand your family, home environment, and care priorities.

Registration fee

The registration fee is $1,200.00. A team member will follow up after submission.

Parent information

First name * Last name *

Phone number * Email *

Work phone number * Place of employment

Spouse information

Spouse first name * Spouse last name *

Phone number

Home address Address *

City State Zip code

Family profile Please describe your family, including names and dates of birth of children *

Name of care recipient(s) Are there any allergies?

Are there any health challenges in the family we should know about?

Household notes

Does anyone in your family smoke? * Do you have any pet(s)? *

Type of pet(s)

Fee summary

Family registration fee $1,200.00

Total $1,200.00

Secure card information

Secure card payment $1,200.00 registration

Square card fields will appear here after your Application ID and Location ID are added in Site Settings.

I have read and agreed to the privacy policy and terms and conditions of Quintessential Nannies LLC *

Care CheckTo protect families from spam, answer this quick check.

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