Complete all details for each enrolment.
Childs Full Name*
Date of Birth*
Street Address*
Suburb *
Home Number
Mobile Number*
Current School*
Enrolling in;
Before School Care After School Care School Holiday Programme
Attending
Weekly Fortnightly As Specified
Please Specify Days of Attendance*
Date of Commencement*
Allergies / Disability
Medication Required?
Yes No As specified
Special Requirements
Dietary Requirements
Ethnicity
Cultural Requirements
Full Name*
Email*
Emergency Contact*
Emergency Phone No.*
You are the immediate parent or caregiver applying for childcare and permit for photos to be taken of your child/children of which can be utilised for marketing purposes. Upon acceptance you will be notified of your child / children’s acceptance within 1 week of receipt of the pre-enrolment application. If you do not permit photo's please notify the Director.
You confirm that
You are the Parent or Caregiver You permit for photographs to be used for promotional material You have read and understood to the policies I will update my contact details as required I permit my child/children to attend any excursions.