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carer
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Registration Form
Name of Service
*
Type of Service
*
Child Care Centre / Family Day Care / OOSH / Preschool
Child Care Agencies / In Home Care Provider
Long Day Care (Child Care Centre)
Family Day Care
Occasional Care
Pre-school (Prep / Kindergarten)
Before & After School Care
Vacation Care
Child Care Agency (Nanny Agency)
In Home Care Provider
Contact Name
*
Address
*
Suburb
*
Postcode
*
(numeric values only)
State
---
NSW
VIC
QLD
SA
WA
ACT
NT
TAS
Phone Number
*
Email Address
*
Please nominate the primary email address that you can be contacted on at all times
Child Care Fees
Long Day Care
Type
Fee
Age Group
(range)
Family Day Care
Type
Fee
Age Group
(range)
Occasional Care
Type
Fee
Age Group
(range)
Pre-school
Type
Fee
Age Group
(range)
Before & After School Care
Type
Fee
Age Group
(range)
Vacation Care
Type
Fee
Age Group
(range)
Approved service registered for
CCB
&
CCR
Vacancies
*
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Please notify me when a parent registers for a vacancy matching the criteria above
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