Waitlist Application

Please fill out the form below and we will be in touch as soon as possible.

CHILD'S DETAILS
Name *
Name
Date of Birth *
Date of Birth
Gender *
MOTHER / GUARDIAN DETAILS
Name *
Name
Home Address *
Home Address
FATHER / GUARDIAN DETAILS
Name *
Name
Home Address
Home Address
APPLICATION DETAILS
Attendance Days *
Which Days would you like your child to attend the centre
Commencement Date *
Commencement Date
Date you wish care to begin.
Do you or your child have any spacial needs to be considered. e.g. Health, Hearing, Eyesight, Developmental Delays, Food Allergies etc
Agreement *
By completing this form your child’s name will go on a waiting list. If you are not offered a place during the year, you will be contacted to see whether you are still interested in remaining on the waiting list. Please inform us of any changes in your requirements or address, telephone number and email address, as this important information. Due to the high demands for child care, the centre is required to abide the priority of access guidelines set by the federal government which funds the centre. Unfortunately, there is no guarantee that you will be offered a place after a certain period of time.