Enquiry of care form

Would you like to be added to our 2023/2024 wait list?
Enquiry of care

Thank you for your recent interest in Rene's family daycare service, at this time all bookings have been secured. Please take the time to fill in the following information below and if something becomes available, this information will allow us to contact you.
Tell us about you:

Parent or guardian information
Parent's Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
Tell us about your child:

Multiple children will require individual applications
Child's Name

First NameLast Name
Child's Date of birth

MonthDayYear
All about your care:

This information allows me to have an idea of what days, times you family may need if enrolled
Enquired days of care
Your estimated drop off and collection times. Please describe type of care (long day care, before/after school care/ o'night care, casual care, weekend care.)
Preferred Start Date:
Tell us about you:
Tell us a little bit about you, your child/ren, what are you hoping your little one gets from care?
How did you hear about us?
Has your child attended care before?
Would you like to receive a small information pack as to what our service offers?
Should be Empty:

Enquiry of care