Child Care Expression of Interest

Parent Details

Given name

Valid given name is required.

Family name

Valid family name is required.

Preferred phone

Valid phone number is required.

Alternative phone

Valid email address is required.

Address

Valid address is required.

Child Details

Given name

Family name

Date of birth

Gender?

Male

Female

Does your child have any medical conditions or allergies?

Yes

Please describe the condition or allergies

I want to add another child

Child Details

Given name

Family name

Date of birth

Gender?

Male

Female

Does your child have any medical conditions or allergies?

Yes

Please describe the condition or allergies

I want to add another child

Child Details

Given name

Family name

Date of birth

Gender?

Male

Female

Does your child have any medical conditions or allergies?

Yes

Please describe the condition or allergies

I want to add another child

Child Details

Given name

Family name

Date of birth

Gender?

Male

Female

Does your child have any medical conditions or allergies?

Yes

Please describe the condition or allergies

Care Requirements

Type of care

Banjora Child Care

Family Day Care

Preferred location

Central Albury

North Albury

Lavington

Thurgoona

Table Top

Wodonga

Corowa

Reason for care (for govt priority of access guidelines)

Work

Study

Respite

When would you like your child(ren) to commence care with us?

Preferred placement days and times

Monday

Start time

End time

Tuesday

Start time

End time

Wednesday

Start time

End time

Thursday

Start time

End time

Friday

Start time

End time

Saturday

Start time

End time

Sunday

Start time

End time

Terms and Conditions

I acknowledge that submission of this expression of interest does not guarantee a child care placement.

I understand that the information I have provided will be used and managed in accordance with AlburyCity's privacy policy

We are committed to protecting your privacy. We will only use the information that we collect about you lawfully (in accordance with the Privacy and Personal Information Protection Act 1998 and the Health Records and Information Privacy Act 2002).

We may collect information about you for 2 reasons: firstly, to process your request and second, to respond to any queries which you may have. We will not email you in the future unless you have given us your consent.

For more information about what data we collect, why we collect it, and what we do with it refer to our privacy policy or contact us.