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Child Care Enquiry
First name
Surname
Postcode
House number/name
Street name
Town/city
Contact number
Email
Best method of contact
Please select
Email
Phone
Post
Q1a. Would you like information about childcare?
Please select
Yes
No
Q1b. Would you like information about becoming a childminder or setting up your own childcare provision?
Please select
Yes
No
Q2. Are you looking for childcare for your own child?
Please select
Yes
No
If No, what is your relationship with to the child?
Q3. What age is your child / children?
Q4. Do they have any special needs?
Please select
Yes
No
If Yes, please describe
Q5. What type of childcare are you looking for?
Please select
Childminder
Day Nursery
Creche
Playgroup
Cylch Meithryn
Breakfast Club
Afterschool Club
Holiday Care Scheme
State Nursery Schools
Parent & Toddler Group
Cylch Ti a Fi
Leisure Services
Nanny Agencies
Au Pairs
Babysitting
Unsure
Other
If other, or more than 1 type of childcare is needed please list here
Q9. Would you like information on
Please select
Becoming a childminder
Setting up a day nursery
Setting up a playgroup
"]
Setting up an out of school club
Career in childcare
