Menu Families Become an Educator Educator Portal Community Hub Childcare Subsidy Book a Visit Menu Families Become an Educator Educator Portal Community Hub Childcare Subsidy Book a Visit Childcare Placement Request Form Please fill out the form below so that we can attend to your request. LinkedInThis field is for validation purposes and should be left unchanged.Guardian's Name* First Last Email* Mobile Phone Number*Work Phone NumberAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code *Child's NameDate of BirthSex M/FRelationship to you Childcare Placement & Location DetailsOn what basis would you like your child/children to be in our care?*PermanentCasualBefore/After SchoolVacationPlease select your 3 preferred locations1st Preference*Select 1st PreferenceBaulkham HillsBeaumont HillsBlacktownBox HillCastle HillCherrybrookDuralGlenwoodKellyvilleKellyville RidgeNorth KellyvilleOakvilleParramattaPendle HillRiverstoneRouse HillSchofieldsStanhope GardensThe PondsTallawongToongabbieWestmeadWinston Hills2nd Preference*Select 2nd PreferenceBaulkham HillsBeaumont HillsBlacktownBox HillCastle HillCherrybrookDuralGlenwoodKellyvilleKellyville RidgeNorth KellyvilleOakvilleParramattaPendle HillRiverstoneRouse HillSchofieldsStanhope GardensThe PondsTallawongToongabbieWestmeadWinston Hills3rd Preference*Select 3rd PreferenceBaulkham HillsBeaumont HillsBlacktownBox HillCastle HillCherrybrookDuralGlenwoodKellyvilleKellyville RidgeNorth KellyvilleOakvilleParramattaPendle HillRiverstoneRouse HillSchofieldsStanhope GardensThe PondsTallawongToongabbieWestmeadWinston HillsPlease add any notes regarding location hereHow will you transport your child/children to childcare?* Walk Car Public Transport Select the days and hours when care is required* Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Start Time* : Hours Minutes AM PM AM/PM Tuesday Start Time* : Hours Minutes AM PM AM/PM Wednesday Start Time* : Hours Minutes AM PM AM/PM Thursday Start Time* : Hours Minutes AM PM AM/PM Friday Start Time* : Hours Minutes AM PM AM/PM Saturday Start Time* : Hours Minutes AM PM AM/PM Sunday Start Time* : Hours Minutes AM PM AM/PM Monday Finish Time* : Hours Minutes AM PM AM/PM Tuesday Finish Time* : Hours Minutes AM PM AM/PM Wednesday Finish Time* : Hours Minutes AM PM AM/PM Thursday Finish Time* : Hours Minutes AM PM AM/PM Friday Finish Time* : Hours Minutes AM PM AM/PM Saturday Finish Time* : Hours Minutes AM PM AM/PM Sunday Finish Time* : Hours Minutes AM PM AM/PM My days and times are flexible Please specify the flexible days and times you requireRequested start date* DD slash MM slash YYYY Name of the specific educator (if known)How did you hear about BHFDC?* Website Facebook Care for Kids Signage/Advertisement Friend Medical or Additional NeedsDoes your child have any medical condition or additional needs?* Yes No e.g. anaphylaxis, asthma, allergies, epilepsy etc.Please provide details of any medical or additional needs for each childPlease note that a current medical action plan is required upon enrolment for anaphylaxis, asthma, epilepsy, etc.Additional InformationPlease provide any additional information to assist us with your placement requestPriority of AccessWill both you and your partner be working/studying at the time of using care?* Yes No Please specify your work/study locationsCAPTCHA © 2025 Baulkham Hills Family Day Care – Created by | Privacy & Disclaimers A Program of