Contact Us

Phone
5367 3936

Mobile
0407 315 935

Fax
5367 8830

Email
info@bacchuskinderchildcare.com.au

Address
6 Clifton Drive
Bacchus Marsh 3340 

Online Enquiry

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Employment/Expressions of Interest

Expression of Interest
Parent Full Name *
Address *
Phone Number (best contact number for daytime access) *
Email Adress
What date do you wish to start?

Child 1
Full Name
Date of Birth
Immunisation up to date
Yes
No
What days do you require
Monday
Tuesday
Wednesday
Thursday
Friday

Child 2
Full Name
Date of Birth
Immunisation up to date
Yes
No
What days to you require
Monday
Tuesday
Wednesday
Thursday
Friday

Reason For Care
Reason
Work
Student
Non Work Related
Other - Additional comments/information(thisis an opportunity for you to tell us briefly about any special requirements you or your child/ren have in order for us to support a successful start in our service)
* Required fields