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Registration Page for America au pairs

"*" indicates required fields

What is your name?*
Date of Birth*
Do you have a driver's license*
Do you have experience with children? (Think of babysitting (also for brothers and sisters), coaching a sports team, tutoring, working in childcare, etc).*
Are you available for at least 12 months to experience the adventure of your life?*
How did you hear about us?*
This field is for validation purposes and should be left unchanged.