Go to top of page

Family day care new booking form

Complete this form to book a child into your care.

Educator details
Family details
Child's date of birth (required)
School age status (required)
Booking details
Start date (required) Start date must be a Monday.
Select the session type

Booking details – week 1

Please make sure that you do not overlap hours and that your start and end times are correct.

Incorrect times will delay the processing of this form.

Monday
Book care?
Session times

Please enter all the session times that are applicable to you.

Session 1 start time
Session 1 end time
Session 2 start time
Session 2 end time
Session 3 start time
Session 3 end time
Session 4 start time
Session 4 end time
Tuesday
Book care?
Session times

Please enter all the session times that are applicable to you.

Session 1 start time
Session 1 end time
Session 2 start time
Session 2 end time
Session 3 start time
Session 3 end time
Session 4 start time
Session 4 end time
Wednesday
Book care?
Session times

Please enter all the session times that are applicable to you.

Session 1 start time
Session 1 end time
Session 2 start time
Session 2 end time
Session 3 start time
Session 3 end time
Session 4 start time
Session 4 end time
Thursday
Book care?
Session times

Please enter all the session times that are applicable to you.

Session 1 start time
Session 1 end time
Session 2 start time
Session 2 end time
Session 3 start time
Session 3 end time
Session 4 start time
Session 4 end time
Friday
Book care?
Session times

Please enter all the session times that are applicable to you.

Session 1 start time
Session 1 end time
Session 2 start time
Session 2 end time
Session 3 start time
Session 3 end time
Session 4 start time
Session 4 end time
Saturday
Book care?
Session times

Please enter all the session times that are applicable to you.

Session 1 start time
Session 1 end time
Session 2 start time
Session 2 end time
Session 3 start time
Session 3 end time
Session 4 start time
Session 4 end time
Sunday
Book care?
Session times

Please enter all the session times that are applicable to you.

Session 1 start time
Session 1 end time
Session 2 start time
Session 2 end time
Session 3 start time
Session 3 end time
Session 4 start time
Session 4 end time
Is week 2 booking details same as week 1?

Booking details – week 2

Please make sure that you do not overlap hours and that your start and end times are correct.

Incorrect times will delay the processing of this form.

Monday
Book care?
Session times

Please enter all the session times that are applicable to you.

Session 1 start time
Session 1 end time
Session 2 start time
Session 2 end time
Session 3 start time
Session 3 end time
Session 4 start time
Session 4 end time
Tuesday
Book care?
Session times

Please enter all the session times that are applicable to you.

Session 1 start time
Session 1 end time
Session 2 start time
Session 2 end time
Session 3 start time
Session 3 end time
Session 4 start time
Session 4 end time
Wednesday
Book care?
Session times

Please enter all the session times that are applicable to you.

Session 1 start time
Session 1 end time
Session 2 start time
Session 2 end time
Session 3 start time
Session 3 end time
Session 4 start time
Session 4 end time
Thursday
Book care?
Session times

Please enter all the session times that are applicable to you.

Session 1 start time
Session 1 end time
Session 2 start time
Session 2 end time
Session 3 start time
Session 3 end time
Session 4 start time
Session 4 end time
Friday
Book care?
Session times

Please enter all the session times that are applicable to you.

Session 1 start time
Session 1 end time
Session 2 start time
Session 2 end time
Session 3 start time
Session 3 end time
Session 4 start time
Session 4 end time
Saturday
Book care?
Session times

Please enter all the session times that are applicable to you.

Session 1 start time
Session 1 end time
Session 2 start time
Session 2 end time
Session 3 start time
Session 3 end time
Session 4 start time
Session 4 end time
Sunday
Book care?
Session times

Please enter all the session times that are applicable to you.

Session 1 start time
Session 1 end time
Session 2 start time
Session 2 end time
Session 3 start time
Session 3 end time
Session 4 start time
Session 4 end time

Acknowledge statement

Educator acknowledgement

Please select the yes checkbox below to acknowledge you understand and agree to the following:

  • I will complete an updated booking contract if the information submitted via this form changes.
  • I will give two weeks’ notice if I close my FDC business permanently.

By submitting this form, you declare all information to be true and correct on 27 April 2024.


Family Day Care Business and Customer Support Centre

Phone (metro): 8343 6533
Phone (country): 1300 551 890
Email: educationfdcbusiness@sa.gov.au