Children’s Services Information Update

Service name:*
If your service has changed its name in the last 12 months, what was its previous name?
Street address:*
Postal address:*
Address (postal):*
Service phone:*
Service email:*
Service website address:
Contact person:*
Position held:*
Type of service:*
What is your daily licence?*
What age groups are you licensed for:
Total number of staff/carers:
Number of families:
Days of operation?*
Hours of operation:*
Does your service only operate during school terms?
Does your service have a road safety education policy?
Would you like some assistance to develop or revise a policy?
If you offer any other services for children and families, please describe them: