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. 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 HillsBella VistaCastle HillCherrybrookGlenhavenGlenwoodKellyvilleKellyville RidgeKenthurstKings LangleyNorthmeadParramattaRiverstoneRouse HillStanhope GardensThe PondsWest Pennant HillsWestmeadWinston Hills2nd Preference*Select 2nd PreferenceBaulkham HillsBeaumont HillsBella VistaCastle HillCherrybrookGlenhavenGlenwoodKellyvilleKellyville RidgeKenthurstKings LangleyNorthmeadParramattaRiverstoneRouse HillStanhope GardensThe PondsWest Pennant HillsWestmeadWinston Hills3rd Preference*Select 3rd PreferenceBaulkham HillsBeaumont HillsBella VistaCastle HillCherrybrookGlenhavenGlenwoodKellyvilleKellyville RidgeKenthurstKings LangleyNorthmeadParramattaRiverstoneRouse HillStanhope GardensThe PondsWest Pennant HillsWestmeadWinston HillsPlease add any notes regarding location hereHow will you transport your child/children to childcare?*WalkCarPublic TransportSelect the days and hours when care is required* Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Start Time* : HH MM AM PM Tuesday Start Time* : HH MM AM PM Wednesday Start Time* : HH MM AM PM Thursday Start Time* : HH MM AM PM Friday Start Time* : HH MM AM PM Saturday Start Time* : HH MM AM PM Sunday Start Time* : HH MM AM PM Monday Finish Time* : HH MM AM PM Tuesday Finish Time* : HH MM AM PM Wednesday Finish Time* : HH MM AM PM Thursday Finish Time* : HH MM AM PM Friday Finish Time* : HH MM AM PM Saturday Finish Time* : HH MM AM PM Sunday Finish Time* : HH MM AM PM My days and times are flexible Please specify the flexible days and times you requireRequested start date* Date Format: DD slash MM slash YYYY Name of the specific educator (if known)How did you hear about BHFDC?*WebsiteFacebookCare for KidsSignage/AdvertisementFriendMedical or Additional NeedsDoes your child have any medical condition or additional needs?*YesNoe.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?*YesNoPlease specify your work/study locationsCAPTCHAEmailThis field is for validation purposes and should be left unchanged. © 2025 Baulkham Hills Family Day Care – Created by | Privacy & Disclaimers A Program of