Enquiry for care form
Thank you for your interest in applying for a Waitlist Spot here at Mel's Early Learners Family Day Care. I have a rare vacancy becoming available from the end of Jan 2025. If this is of interest to you, please fill in the details below. This will allow me to contact you when I return from holidays from the 6th Jan 2025.
Would you like to be added to my 2025 wait list?
Yes, please
No, thank you
Tell me about yourself:
Parent or guardian's details
Parent/guardian's Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
Have you registered for Child Care Subsidy (CCS)?
Tell me about your child
Multiple children will require seperate applications.
Child's Name
First Name
Last Name
Child's Date of Birth
-
Month
-
Day
Year
Are there any court orders or family plans in place?
Medical: has your child been diagnosed with a medical condition? If yes, please disclose below.
All about the care you require
This information will give me an idea of the days and times your family requires if enrolled.
Required days of care
Monday
Tuesday
Wednesday
Thursday
Friday
Flexible
What are your estimated drop off and pick up times? *Please note, I do have a minimum 8 hour sessions.
What is your ideal start date?
-
Month
-
Day
Year
Tell me more about your child and family needs
How did you hear about me
Has your child attended a care setting before
Yes
No
Submit
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