Family day care enquiry form

Use this form to ask about care for your child.

Your details

Your given name (required)

Your family name (required)

Your email (required)

Your phone number (required)

Where did you find out about family day care?

Child details

How many children do you want family day care for? (required)

Child 1

Child 1 given name (required)

Child 1 family name (required)

Child 1 age (required)

Does child 1 need extra support?

Child 2

Child 2 given name (required)

Child 2 family name (required)

Child 2 age (required)

Does child 2 need extra support?

Child 3

Child 3 given name (required)

Child 3 family name (required)

Child 3 age (required)

Does child 3 need any extra support?

When and where

When do you want family day care? (You can choose more than 1) (required)

daytime – 8:00am to 6:00pm

evening – 6:00pm to 9:00pm

overnight – 9:00pm to 8:00am

Saturday or Sunday

before or after school

What suburb do you want family day care in? (required)

How far can you travel for care? (required)

Does your child need to be dropped off or picked up from preschool or school? (required)

What preschool or school does your child go to?

What days and times does your child need care? (required)

Is there any other information that could help us find the best match for you?

Leave this field blank

South Australia

Department for Education

Family day care

Find care