Family Information Service Online Enquiry Form

Please indicate which of the following you would like to receive
You may select as many as you wish







(Fun in Brum is available for school holidays only)
Family Information Service A Guide to Our Services
Making Good Childcare Arrangements
A Guide to Childcare in Birmingham
Fun in Brum

Title * Select Miss Ms Mr Mrs Dr Rev Sir

First Name *

Surname / Family Name *

Telephone Number *

Email address *

Property Number / House Name *

Street Name *

Town or City *

Postcode *

Ethnicity
In order to ensure that our service is reaching everyone in the community please provide us with your ethnicity, (optional).

Age(s) of
Child(ren)

School

Any specific needs

Type of Childcare *
You may select as many as you wish








Childminder
Day Nursery
PreSchool Playgroup
Parent and Toddler Group
Out of School Club
Holiday Scheme

Other (please specify)

Location of Childcare Select Close to Home Close to Work Both

Work Address

Work Post Code

Please give details

Please give details