Enrol

1 : Enter Details

Your Name

Email

Childs Family Name :

Bill To (Parents Name) :

Address :

City :

Postal Code :

WINZ Client # :

Childs First Name :

Age :

Date of Birth :

Sex :  Boy Girl

Ethnicity :

Health & Safety Notes :

Medical Notes :

Current School Attending :

Doctors Name :

Doctors Phone Number :

WINZ :  Do you require an OSCAR Subsidy? Have you changed OSCAR Centres? Has this child had a subsidy in the past month? Are you changing care hours?

2 : Contacts

First Name :

Last Name :

Relationship :

Phone Home :

Phone Work :

Phone Mobile :

Pick Up Permission :

2 : Other Contacts

First Name :

Last Name :

Relationship :

Phone Home :

Phone Work :

Phone Mobile :

Pick Up Permission :

3 : Service Required(Select Option)

 Before School Care After School Care Holiday Programme Sick Bay Sleep Over Baby Sitting

Before School Care

Name of School :

Class Room Number :

School Start Time :

Date to Commence Before School Care :

Frequency :
(1 off, Weekly, Fortnightly etc)

Select Days to be Enrolled :  Monday Tuesday Wednesday Thursday Friday

After School Care

Name of School :

Class Room Number :

School Finish Time :

Date to Commence After School Care :

Frequency :
(1 off, Weekly, Fortnightly etc)

After School Activities to attend :
(please detail days & times

Select Days to be Enrolled :  Monday Tuesday Wednesday Thursday Friday

Holiday Programme

Date to Commence Holiday Programme :

Select Days to be Enrolled :  Monday Tuesday Wednesday Thursday Friday

Select Times to be Enrolled :  6:45am - 6:15pm 9:00am - 6:15pm 6:45am - 4:00pm Selected Hours

Selected Hours :

Sick Bay

Date to Commence Sick Day :

Select Days to be Enrolled :  Monday Tuesday Wednesday Thursday Friday

Select Times to be Enrolled :  6:45am - 6:15pm 9:00am - 6:15pm 6:45am - 4:00pm Selected Hours

Selected Hours :