Application for Enrollment

Please fill in the below section in order for us to put the child on waiting list.

Child's Name

First Name

Last Name

Sex

Boy

Girl

Date of Birth

MM

DD

YYYY

Age of child at enrollment

Parent's detais

Parent or Main Caregivers Name

First Name

Last Name

Home Address

This is the address the child spends most time at.

Mobile Number

Home Phone Number

Email address

Attendence

Preferred commencement date

MM

DD

YYYY

Preferred Attendance days

Please note minimum days of attendance is 3 days for above three years, and 2 days for under three year olds.

Monday

Tuesday

Wednesday

Thursday

Friday

Preferred Hours Part days (6 hours) Full days (>6 hours)

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