Apply for Childcare Company If you would like to apply for childcare places or contact me regarding your childcare needs, please fill out the details below. I'll contact you back as soon as possible, thank you. Parent Details Name * Telephone Number * Email Address * Childcare Details How many children? * 1 2 3 Ages of the child/ren? * 0 1 2 3 When are you looking at starting? * What days are you looking for? * Monday Tuesday Wednesday Thursday Friday What hours are you looking for? * Type of care All year Term time Holiday care Occasional Comments / Questions