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WELCOME
ABOUT
NURSERY
TODDLERS
JUNIOR KINDY
SENIOR KINDY
PRE-PREP
FAQ’s
STATEMENT OF APOLOGY
PHILOSOPHY
PARENT HANDBOOK
KINDYHUB
NEWS
CALENDAR
CURRICULUM
CONTACT
FEES
MENU
Waiting List Application
Waiting List Application
Bauer Street
2017-05-17T13:32:50+10:00
Waiting List Application
CHILD’S INFORMATION
Child's Name
*
Given Name
Surname
Sex
*
Male
Female
Date of birth:
*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Number of days required
*
Preferred days
*
Monday
Tuesday
Wednesday
Thursday
Friday
Are these days flexible?
*
Yes
No
When would you like to commence?
*
Hidden
Date Form completed
*
DD dash MM dash YYYY
PARENT ONE
Name
*
First
Last
Address
*
Street Address
Suburb
Postcode
Phone (Mobile)
*
Phone (Work)
*
Phone (Home)
*
Email
*
Occupation:
*
Languages Spoken:
*
In order to comply with Department of Education, Employment and Workplace Relations guidelines and to ensure priority of enrolment on a needs basis, the following information is required. Please select applicable:
*
Working full time
Working part-time
Seeking employment
Studying
Not in paid employment
Single Parent Family
Home Duties
Other
PARENT TWO
Name
*
First
Last
Address
*
Street Address
Suburb
Postcode
Phone (Mobile)
*
Phone (Work)
*
Phone (Home)
*
Email
*
Occupation:
*
Languages Spoken:
*
In order to comply with Department of Education, Employment and Workplace Relations guidelines and to ensure priority of enrolment on a needs basis, the following information is required. Please select applicable:
*
Working full time
Working part-time
Seeking employment
Studying
Not in paid employment
Single Parent Family
Home Duties
Other
In order to comply with Department of Education, Employment and Workplace Relations guidelines and to ensure priority of enrolment on a needs basis, the following information is required. Please select applicable:
Do you or your child have any health problems or disabilities?
*
Yes
No
Details:
Are you at home with several children?
*
Yes
No
Details:
Are there any other special circumstances?
*
Yes
No
Details:
How did you find out about our Centre?
*
Yellow pages
Personal referral
Internet/Website
Name of referral:
Declaration | This is NOT AN ENROLLMENT FORM and there is NO GUARANTEE OF PLACEMENT
*
I, Parent One, agree that by completing this form my child’s name will go on your waiting list. I understand that there is no guarantee of placement
I, Parent Two, agree that by completing this form my child’s name will go on your waiting list. I understand that there is no guarantee of placement
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