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First Name
Last Name
Phone Number (optional)
Email
*
Postcode
*
How many children do you currently have in child care?
*
1
2
3
3+
How many days of care do your children participate in per week?
*
How do you think the new proposals will affect your family?
Would you be interested in sharing your story with the media?
As part of our campaign for a fairer Families Package we will need case studies to show the impact the proposal will have. If you would be willing to share your story let us know below.
Yes
No
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