Childcare Request Form

 
Once you have completed the form below, click on 'Submit' to send. Your enquiry will be sent to the Bedford Borough Family Information Service. We will aim to reply on our next working day. If you make a mistake or would like to start again click on 'Cancel'. You will have the opportunity to print details of your request for your records after you have submitted it.

Any fields marked with a '*' are mandatory fields.
 
Please select how you would like the information to be sent to you: *
Please select how you would like the information to be sent to you:
 
Please indicate what type of childcare you require. You may select more than one type: *









 
 
Location of Childcare. You may select more than 1 location: *














































 
 
Please tick hours required:
 
 

Data Protection Act 1998

Please note that the personal details supplied on this form will be held on a file and/or computerised by Bedford Borough Council for the purposes of processing your childcare request. Your personal details may be shared internally within the Council for this purpose, but will be safeguarded and will not be divulged to any other individuals or organisations for any other purposes. In exceptional circumstances we may be required to exchange this information as laid done by law, in accordance with our Data protection policy.
All personal information collected will be covered by our Privacy policy.
 
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Bedford Borough Council
Borough Hall
Cauldwell Street
Bedford
MK42 9AP

Tel. 01234 267422