Enrolment

Here you can know enrol for new batch

Application for Enrollment

Child Name (required)

Date of Birth (required)

Deposit Paid Date

Start Date

Days Attending

 Monday Tuesday Wednesday Thursday Friday





Parent/Guardian 1


First Name (required)

Family Name (required)

Date of Birth (required)

Ethnicity

Email

Address

Postal Address

Phone

Mobile Phone

CRN

Drivers License #

Occupation

Company Name/Address/Phone

Parent/Guardian 2


First Name (required)

Family Name (required)

Date of Birth (required)

Ethnicity

Email

Address

Postal Address

Phone

Mobile Phone

CRN

Drivers License #

Occupation

Company Name/Address/Phone


Child Details


First Name (required)

Family Name (required)

Nickname

Date of Birth (required)

Gender

 Male Female

CRN

Siblings

Custody Details

Religion

Languages spoken at home

Religious/Cultural Observances

Specific Clothing Requirements

Family Doctor/Phone #

Medicare #

Private Health Fund #

Immunisation

 Yes (Documentation Provided) No (Comments)

Allergies/Intolerances

Medical Conditions

Medications

Special Dietary Requirements

Food Likes/Dislikes

Interests/Hobbies

Behavioural Issues

Sleep Routine (incl. comforter)

Fears

Special Care Requirements

Additional Comments


Authorised Nominee means a person who has been given permission by a parent or family member to collect the child from the education and care service.

Authorised Nominee #1


Relationship to Child

Title

First Name

Family Name

Address

Home Phone

Mobile Phone

Company Name/Address/Phone

Authorised Nominee #2


Relationship to Child

Title

First Name

Family Name

Address

Home Phone

Mobile Phone

Company Name/Address/Phone

Authorised Nominee #3


Relationship to Child

Title

First Name

Family Name

Address

Home Phone

Mobile Phone

Company Name/Address/Phone

Authorised Nominee #4


Relationship to Child

Title

First Name

Family Name

Address

Home Phone

Mobile Phone

Company Name/Address/Phone