Enrolment Application / Enquiry Form

Once you submit this form we will contact you to discuss the availability of a place(s) as completing the form does not guarantee placement at the preschool. We can also discuss anything else you would like to know and our Preschool.

You may be eligible for Commonwealth Child Care Benefit and/or Rebate which can greatly assist with the cost of childcare. Applications can be made through the Family Assistance Office. Call them on 136 150 for more information.

Contact Information

Your Name* Relationship to Child*
Address*
Email*
Phone (Mobile)* Phone (Home/Work)*

 

Child Information

Childs Surname*
Child 1 Name* Date of Birth*
Child 2 Name Date of Birth
Child 3 Name Date of Birth

 

Days of the week preferred

Monday Tuesday Wednesday Thursday Friday

 

Additional Information

When would you like attendance to commence?*
Are there any allergies, special needs or circumstances that you would like to discuss?
How did you hear about us?