Registration

If you would like to register with the Mackay Children's Contact Service, please complete the form below and we will contact you. All form fields need a response except the ones marked as optional. If you experience any problems using this form, please contact us for assistance.

Your full name

Your phone number

Your email address

Your suburb

Which service do you require?
ChangeoverSupervised contactOnline Supervised Contact

Do you have a court order?
YesNo

Do you have a parenting agreement?
YesNo

Is there a domestic violence order in place?
YesNo

What is your availability?
Week days onlyWeekends onlyBoth week days and weekends

Other parent's full name

Your message (optional)

Upload court order if applicable (PDF or image file; 2.5 MB maximum)

Upload parenting agreement if applicable (PDF or image file; 2.5 MB maximum)

Upload domestic violence order if applicable (PDF or image file; 2.5 MB maximum)