Choosing Childcare Form

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Choosing Childcare

Title:
Forename:
Surname:
Address:
Postcode:
Email address:
Telephone number:
Age of child/ren:
Select the type of childcare required (please select all that apply) :	After School Club Breakfast Club Childminder Creche Day Nursery Holiday Playscheme Homebased Childcarer Pre-school Playgroup
Select the area in which you require childcare in (please select all that apply) :	Bear Cross Boscombe Charminster East Howe Holdenhurst Village Iford Kinson Littledown Meyrick Park Moordown Muscliff Northbourne Pokesdown Redhill Southbourne Springbourne Talbot Village Throop Town Centre Townsend Tuckton Wallisdown West Howe Westbourne Westcliff Winton
School pick up/ drop off required?
If yes, please state the school:
Overnight care required?
Information required (please select all that apply) :	Childcare Quality Schemes Childcare Vouchers Children's Centre's Early Education Funding Early Learning Centre's Ofsted Information Parent and Toddler Groups Stay and Play Groups SureStart Maternity Grant Tax Credits Toy Libraries
Additional information required:

Contact details

Bournemouth Council
	Children’s Information Service, Dorset House, 20-22 Christchurch Road, Bournemouth, Dorset BH1 3NL
	Tel: 01202 456222
	Email: Children's Information Service