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Mega Little Palms | Childcare Booking Request

Thank you for considering Mega Little Palms for your family's childcare needs.

This booking request helps us understand your family, your child’s care needs, and the details of your requested service so we can provide thoughtful, well-prepared care.

Please complete the information below as accurately as possible. Once submitted, our team will review your request and contact you to confirm availability and next steps.

Please note: Submission of this form does not reserve or guarantee childcare dates. Your booking is confirmed only once the required booking steps and payment have been completed.

Parent & Family Information

Please provide the primary contact information for your childcare request.
Click the dropdown to select your preferred language.

Additional Parent / Guardian

Childcare Booking Details

Please provide the requested details for your childcare booking.

Where will childcare take place?

Property Address / Location (if known)

Accommodation not confirmed yet? No problem. You may leave this blank and provide the property details once your accommodation has been finalized.

Child Information

Please provide the following information about each child who will be receiving care.

CHILD 2

Child Comfort & Familiarity

Every child has familiar words, interests, routines, and comfort items that can help them feel secure and at ease with their caregiver. Please share anything that may help us create a comfortable and familiar experience for each child receiving care.

Does your child(s) use a preferred name or nickname?

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B

Health, Allergies & Safety

Does your child(s) have any known allergies?
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A
B
Does your child(s) have any medical conditions, health concerns, or ongoing medical needs?
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A
B
Does your child(s) take any medications?
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B
Does your child(s) have any dietary restrictions or food sensitivities?
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A
B
Are there any additional safety concerns, care precautions, specific feeding instructions or important information we should know about your child?
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A
B

Emergency Contact & Authorization

Would you like to provide an additional emergency contact?*
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A
B

Emergency Medical Authorization

In the event of a medical emergency, if you cannot be reached immediately, do you authorize Mega Little Palms to seek appropriate emergency medical assistance for your child?
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A
B

Care Preferences & Communication

How would you prefer to receive updates during your childcare session?*
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A
B
C
Do you give permission for photos of your child to be taken and shared privately with you during the childcare session?*
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A
B
This permission applies only to photos shared privately with you as part of your childcare updates. It does not include permission for social media, marketing, website use, or any other public sharing.
Who should be our primary point of contact during the childcare session?*

Is there anything else you would like us to know about your communication preferences during care?

A
B