Family Day Care - Parent Enquiry

Family Day Care provides child care in the homes of Family Day Care Educators who operate under a service agreement with the City of Greater Geelong. Under the Childrens Services Regulations FDC Educators are able to care for up to four children not attending school, and three children attending school (including the FDC Educator’s own children)

Family Day Care Educators set their own fees that range between $6 and $10 per hour per child. Child Care Benefit applies. (hyperlink to fees and conditions)

Following receipt of your enquiry a Family Day Care team member will contact you and will begin to seek a placement for you.

Please note: Completing this form does not guarantee placement.


Fields marked with Mandatory Field are required
Your Details
Mandatory Field Your Name:  
Mandatory Field Address:  
Mandatory Field Your Email:    
Mandatory Field Phone:  
Mobile:
Mandatory Field Reason for care:  

If Other please specify:
 

Mandatory Field Suburb of work:  

Mandatory Field The service will seek care between your home address and the suburb you work in.
  If care is not available in this area, or you require care in another area, please list suburbs you are willing to travel to.
 

Child Details
Mandatory Field Child 1 Name:  
Mandatory Field Date of Birth:  
Open the calendar popup.

Mandatory Field Actual days and hours of care required:   		Start and finish times required:
Name of School or Kindergarten:

Kindergarten session days and times:
Additional needs: Does this child have any additional needs, such as Asthma, Anaphylaxis, allergies, or any other medical condition?
Child 2 Name:
Date of Birth: 
Open the calendar popup.
Actual days and hours of care required:
 
Start and finish times required:
Name of School or Kindergarten:
Kindergarten session days and times:
Additional needs: Does this child have any additional needs, such as Asthma, Anaphylaxis, allergies, or any other medical condition?
Child 3 Name:
 Date of Birth: 
Open the calendar popup.
Actual days and hours of care required:
 
Start and finish times required:
Name of School or Kindergarten:
Kindergarten session days and times:
Additional needs: Does this child have any additional needs, such as Asthma, Anaphylaxis, allergies, or any other medical condition?
Mandatory Field Care required from date:  
Open the calendar popup.

Other
Mandatory Field How did you hear      
about us:  

 



 


 
Other Comments:
Mandatory Field Terms:  


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